🫀 Cardiogenic Shock Mortality Risk (CardShock)
UseManagement follows current guidelines and local protocols; this page gives no management recommendation.
SourceHarjola VP, et al. CardShock study. Eur J Heart Fail 2015.
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
CardShock complements SCAI staging and the IABP-SHOCK II score, adding a quantitative early-mortality estimate (original synthesis · not guideline verbatim).
When to use
Management follows current guidelines and local protocols; this page gives no management recommendation.
How it works
Points (0–9) from age > 75, confusion, prior MI/CABG, ACS etiology, LVEF < 40%, lactate, and eGFR; low 0–3 (≈9%), intermediate 4–5 (≈36%), high 6–9 (≈77%) in-hospital mortality.
Key points
- CardShock complements SCAI staging and the IABP-SHOCK II score, adding a quantitative early-mortality estimate (original synthesis · not guideline verbatim).
- Lactate and eGFR carry up to 2 points each, reflecting the weight of perfusion and renal function.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Age > 75 yr | No |
|---|---|
| Confusion at admission | No |
| Prior MI or CABG | No |
| ACS etiology | No |
| Left ventricular ejection fraction < 40% | No |
| Blood lactate | 2–4 mmol/L (1) |
| eGFR | 30–60 (1) |
→CardShock2 pts
- Class：2 pts (0–9) → Low risk (in-hospital mortality ≈9%)
- Management direction：Low risk: standard cardiogenic-shock management, monitor for change and reassess promptly
- Note：7 variables integrate age, mental status, cardiac history/etiology, LV function, perfusion (lactate), and renal function (eGFR). AUC ≈ 0.85 (development) / 0.71 (validation). Complementary to SCAI staging and the IABP-SHOCK II score
| Age > 75 yr | No |
|---|---|
| Confusion at admission | No |
| Prior MI or CABG | No |
| ACS etiology | No |
| Left ventricular ejection fraction < 40% | No |
| Blood lactate | < 2 mmol/L (0) |
| eGFR | > 60 (0) |
→CardShock0 pts
- Class：0 pts (0–9) → Low risk (in-hospital mortality ≈9%)
- Management direction：Low risk: standard cardiogenic-shock management, monitor for change and reassess promptly
- Note：7 variables integrate age, mental status, cardiac history/etiology, LV function, perfusion (lactate), and renal function (eGFR). AUC ≈ 0.85 (development) / 0.71 (validation). Complementary to SCAI staging and the IABP-SHOCK II score
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Cardiogenic Shock Mortality Risk (CardShock)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Cardiogenic Shock Mortality Risk (CardShock) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Cardiogenic Shock Mortality Risk (CardShock) calculated in practice? Can you show a worked example?
- Inputs: Age > 75 yr No, Confusion at admission No, Prior MI or CABG No, ACS etiology No, Left ventricular ejection fraction < 40% No, Blood lactate 2–4 mmol/L (1), eGFR 30–60 (1) → Result: CardShock 2 pts（Class: 2 pts (0–9) → Low risk (in-hospital mortality ≈9%), Management direction: Low risk: standard cardiogenic-shock management, monitor for change and reassess promptly, Note: 7 variables integrate age, mental status, cardiac history/etiology, LV function, perfusion (lactate), and renal function (eGFR). AUC ≈ 0.85 (development) / 0.71 (validation). Complementary to SCAI staging and the IABP-SHOCK II score） Inputs: Age > 75 yr No, Confusion at admission No, Prior MI or CABG No, ACS etiology No, Left ventricular ejection fraction < 40% No, Blood lactate < 2 mmol/L (0), eGFR > 60 (0) → Result: CardShock 0 pts（Class: 0 pts (0–9) → Low risk (in-hospital mortality ≈9%), Management direction: Low risk: standard cardiogenic-shock management, monitor for change and reassess promptly, Note: 7 variables integrate age, mental status, cardiac history/etiology, LV function, perfusion (lactate), and renal function (eGFR). AUC ≈ 0.85 (development) / 0.71 (validation). Complementary to SCAI staging and the IABP-SHOCK II score）