Facharzt FMH Intensivmedizin Practice Questions - Facharzt FMH Für Intensivmedizin Spécialiste FMH En Médecine Intensive Exam

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A patient with a pulmonary artery catheter (PAC) in place exhibits the following hemodynamic profile: Mean Arterial Pressure (MAP) 55 mmHg, Central Venous Pressure (CVP) 18 mmHg, Pulmonary Artery Occlusion Pressure (PAOP) 22 mmHg, Cardiac Index (CI) 1.6 L/min/m², Systemic Vascular Resistance Index (SVRI) 2600 dyn·s·cm⁻⁵·m², and Mixed Venous Oxygen Saturation (SvO2) 48%. Which clinical condition is most consistent with these measurements?

Early hyperdynamic septic shock Severe unresuscitated hemorrhagic hypovolemic shock Acute cardiogenic shock secondary to extensive anterior myocardial infarction Massive acute pulmonary embolism with acute cor pulmonale

Correct Answer:

Acute cardiogenic shock secondary to extensive anterior myocardial infarction

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