Contemporary Management of PE Patients in SHOCK-Normotensive Shock

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Video Summary

Non-motensive shock, characterized by low cardiac output and preserved blood pressure (≥90 mmHg), poses significant risks in pulmonary embolism (PE) patients. Despite stable blood pressure, these patients may experience hemodynamic deterioration and increased in-hospital mortality. The Composite Pulmonary Embolism Shock (CPES) score predicts non-motensive shock, aiding aggressive management. With enhanced risk stratification, non-motensive shock can be predicted non-invasively using echocardiography, CO2 gap, and IVC contrast reflux. Early identification and intervention in PE patients with non-motensive shock are crucial for improving outcomes, similar to approaches in acute myocardial infarction patients.

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Sripal Bangalore, MD, MHA, FSCAI

Keywords

non-motensive shock

pulmonary embolism

CPES score

risk stratification

hemodynamic deterioration