s1 May 1969Hemodynamics, Myocardial Metabolism, and Therapeutical Response in Cardiogenic Noncoronary (NCS), Coronary (CS), and Mixed Shock (MS).Hiltrud S. Mueller, M.D., John J. Gregory, M.D., F.A.C.P., Stephen M. Ayres, M.D., F.A.C.P., Stanley Giannelli Jr., M.D., William J. Grace, M.D., F.A.C.P.Hiltrud S. Mueller, M.D.Search for more papers by this author, John J. Gregory, M.D., F.A.C.P.Search for more papers by this author, Stephen M. Ayres, M.D., F.A.C.P.Search for more papers by this author, Stanley Giannelli Jr., M.D.Search for more papers by this author, William J. Grace, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-70-5-1079_2 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMetabolic differences between coronary and noncoronary cardiogenic shock may explain reported differences in response to sympathiocomimetic amines. Cardiac index (CI), mean aortic pressure (MAP), coronary blood flow (CBF), myocardial oxygen consumption (MVO2), oxygen, lactate, and pyruvate extraction ratios (ExO2, ExT, and Exn), and arterial lactate pyruvate ratios (L/P) were measured as follows: in five patients in noncoronary shock after mitral and aortic valve replacement; in eight patients in coronary shock after acute myocardial infarction; and in six patients in mixed shock after hemorrhage and sepsis.The hemodynamics did not vary significantly between the three groups, except for coronary blood flow.... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, New York PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 May 1969Volume 70, Issue 5Page: 1079-1079KeywordsBlood flowHemodynamicsHemorrhageLactatesMyocardial infarctionOxygenOxygen consumptionPyruvateSepsisShock Issue Published: 1 May 1969 PDF DownloadLoading ...