Valente Serafina, Ghionzoli Nicolò, Sorini Dini Carlotta, Rossini Roberta, Gabrielli Domenico, Oliva Fabrizio, Colivicchi Furio
Cardiologia Clinico-Chirurgica (UTIC), A.O.U. Senese, Ospedale Santa Maria alle Scotte, Siena.
Sezione Cardiologia, Dipartimento di Biotecnologie Mediche, Università degli Studi, Siena.
G Ital Cardiol (Rome). 2023 Feb;24(2):110-121. doi: 10.1714/3963.39418.
Circulatory shock is a clinical condition characterized by hypotension and organ hypoperfusion, potentially fatal if the underlying cause is not promptly identified and corrected. Circulatory shock outcome is certainly conditioned from early diagnosis and early and adequate therapy. The aim of this review is to provide a tool for a rapid differential diagnosis among the various phenotypes of circulatory shock, based on the clinical, hemodynamic and biochemical profile. We also prompt to emphasize the role of multiparametric monitoring from the early phases of the management and the need to implement the time-dependent network to improve the outcome of these critical patients.