To code cardiogenic shock it must first be clear that cardiac dysfunction is present. Evidence of cardiogenic shock and at least one of the following are necessary to code yes for cardiogenic shock. Either the patient has sustained defined as longer than 30 minutes, an episode of systolic blood pressure less than 90, or and a cardiac index of 2.2 or less, or the required and or the requirement or parenteral inotropic support or vasopressor agents or mechanical support to maintain blood pressure or the cardiac index above those levels. Of note transient episodes of hypotension reversed with fluids or atropine do not constitute shock. The hemodynamic compromise must persist for at least 30 minutes. Additionally the registry recognizes the inherent challenges in capturing all aspects of a patient's clinical condition with data elements addressing cardiogenic shock. We have accepted that all the nuances of a definition would not need to be met in their entirety to code, however it is important that there should be some evidence the data definition being met or physician diagnosis or documentation to support coding so that presumptive coding does not occur and so that data is consistently captured throughout the registry.

cardiogenic shock

cardiac dysfunction

systolic blood pressure

inotropic support

vasopressor agents