Heart failure and cardiogenic shock exist on the same disease spectrum, yet they’re often taught separately. In this episode, we bring them together into a single, cohesive framework that explains how heart failure progresses to cardiogenic shock — and how to manage both at the bedside.
Topics covered include: • Heart failure pathophysiology (HFrEF vs HFpEF) • Preload, afterload, contractility, and cardiac output • Compensated vs decompensated heart failure • Acute decompensated heart failure • Cardiogenic shock physiology • Clinical findings and hemodynamics • Diagnostic approach (exam, labs, echo, ultrasound) • Management principles and common pitfalls
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