U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Obstructive shock

MedGen UID:
1621062
•Concept ID:
C3665783
•
Disease or Syndrome
SNOMED CT: Obstructive shock (16472761000119108)
 
HPO: HP:0031276

Definition

A type of shock characterized by inadequate cardiac preload due to obstructed venous return (e.g. pericardial tamponade, tension pneumothorax, abdominal compartment) or obstruction of arterial blood flow (e.g. pulmonary embolism). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVObstructive shock

Professional guidelines

PubMed

The physiology of cardiac tamponade and implications for patient management.
Yuriditsky E, Horowitz JM
J Crit Care 2024 Apr;80:154512. Epub 2023 Dec 27 doi: 10.1016/j.jcrc.2023.154512. PMID: 38154410
Endovascular Treatment of Acute Obstructive Shock Associated with Inferior Vena Cava Filter Thrombosis.
Lane OF, Jahangiri Y, Slater WA
J Vasc Interv Radiol 2023 Jul;34(7):1272-1275. Epub 2023 Feb 28 doi: 10.1016/j.jvir.2023.02.026. PMID: 36863610
Prevalence, Outcome, and Optimal Management of Free-Floating Right Heart Thrombi in the Context of Pulmonary Embolism, a Systematic Review and Meta-Analysis.
Ibrahim WH, Ata F, Choudry H, Javed H, Shunnar KM, Shams A, Arshad A, Bosom A, Elkahlout MHA, Sawaf B, Ahmed SMA, Olajide T
Clin Appl Thromb Hemost 2022 Jan-Dec;28:10760296221140114. doi: 10.1177/10760296221140114. PMID: 36384306Free PMC Article

Recent clinical studies

Etiology

Risk stratification of acute pulmonary embolism.
de Wit K, D'Arsigny CL
J Thromb Haemost 2023 Nov;21(11):3016-3023. Epub 2023 May 13 doi: 10.1016/j.jtha.2023.05.003. PMID: 37187357
Ultrasound in postresuscitation care: a narrative review.
Hsu CY, Chen JY, Lee AF, Huang SS, Lien WC, Chang WT, Huang CH
Eur J Emerg Med 2022 Aug 1;29(4):246-252. Epub 2022 Apr 20 doi: 10.1097/MEJ.0000000000000929. PMID: 35471202
Predictors of Mortality in Neonatal Shock: A Retrospective Cohort Study.
Saini SS, Shrivastav AK, Kumar J, Sundaram V, Mukhopadhyay K, Dutta S, Ray P, Kumar P
Shock 2022 Feb 1;57(2):199-204. doi: 10.1097/SHK.0000000000001887. PMID: 34798634
Outcome of patients with different clinical presentations of high-risk pulmonary embolism.
Ebner M, Sentler C, Harjola VP, Bueno H, Lerchbaumer MH, Hasenfuß G, Eckardt KU, Konstantinides SV, Lankeit M
Eur Heart J Acute Cardiovasc Care 2021 Oct 1;10(7):787-796. doi: 10.1093/ehjacc/zuab038. PMID: 34125186Free PMC Article
Accuracy and outcome of rapid ultrasound in shock and hypotension (RUSH) in Egyptian polytrauma patients.
Elbaih AH, Housseini AM, Khalifa MEM
Chin J Traumatol 2018 Jun;21(3):156-162. Epub 2018 Mar 26 doi: 10.1016/j.cjtee.2017.06.009. PMID: 29784591Free PMC Article

Diagnosis

Diagnostic accuracy of point-of-care ultrasound for shock: a systematic review and meta-analysis.
Yoshida T, Yoshida T, Noma H, Nomura T, Suzuki A, Mihara T
Crit Care 2023 May 25;27(1):200. doi: 10.1186/s13054-023-04495-6. PMID: 37231510Free PMC Article
Risk stratification of acute pulmonary embolism.
de Wit K, D'Arsigny CL
J Thromb Haemost 2023 Nov;21(11):3016-3023. Epub 2023 May 13 doi: 10.1016/j.jtha.2023.05.003. PMID: 37187357
Ultrasound in postresuscitation care: a narrative review.
Hsu CY, Chen JY, Lee AF, Huang SS, Lien WC, Chang WT, Huang CH
Eur J Emerg Med 2022 Aug 1;29(4):246-252. Epub 2022 Apr 20 doi: 10.1097/MEJ.0000000000000929. PMID: 35471202
The Nomenclature, Definition and Distinction of Types of Shock.
Standl T, Annecke T, Cascorbi I, Heller AR, Sabashnikov A, Teske W
Dtsch Arztebl Int 2018 Nov 9;115(45):757-768. doi: 10.3238/arztebl.2018.0757. PMID: 30573009Free PMC Article
Cardiac tamponade.
Bodson L, Bouferrache K, Vieillard-Baron A
Curr Opin Crit Care 2011 Oct;17(5):416-24. doi: 10.1097/MCC.0b013e3283491f27. PMID: 21716107

Therapy

Risk stratification of acute pulmonary embolism.
de Wit K, D'Arsigny CL
J Thromb Haemost 2023 Nov;21(11):3016-3023. Epub 2023 May 13 doi: 10.1016/j.jtha.2023.05.003. PMID: 37187357
Air embolism case report.
Basta M, Schwartz S
CJEM 2023 May;25(5):445-447. Epub 2023 May 4 doi: 10.1007/s43678-023-00506-1. PMID: 37142857
Echocardiography in a critical care unit: a contemporary review.
Mohsin M, Farooq MU, Akhtar W, Mustafa W, Rehman TU, Malik J, Zahid T
Expert Rev Cardiovasc Ther 2022 Jan;20(1):55-63. Epub 2022 Feb 2 doi: 10.1080/14779072.2022.2036124. PMID: 35098852
The Nomenclature, Definition and Distinction of Types of Shock.
Standl T, Annecke T, Cascorbi I, Heller AR, Sabashnikov A, Teske W
Dtsch Arztebl Int 2018 Nov 9;115(45):757-768. doi: 10.3238/arztebl.2018.0757. PMID: 30573009Free PMC Article
Pharmacotherapy of circulatory shock.
Higgins TL, Chernow B
Dis Mon 1987 Jun;33(6):309-61. doi: 10.1016/0011-5029(87)90017-4. PMID: 3304905

Prognosis

Risk stratification of acute pulmonary embolism.
de Wit K, D'Arsigny CL
J Thromb Haemost 2023 Nov;21(11):3016-3023. Epub 2023 May 13 doi: 10.1016/j.jtha.2023.05.003. PMID: 37187357
Prevalence, Outcome, and Optimal Management of Free-Floating Right Heart Thrombi in the Context of Pulmonary Embolism, a Systematic Review and Meta-Analysis.
Ibrahim WH, Ata F, Choudry H, Javed H, Shunnar KM, Shams A, Arshad A, Bosom A, Elkahlout MHA, Sawaf B, Ahmed SMA, Olajide T
Clin Appl Thromb Hemost 2022 Jan-Dec;28:10760296221140114. doi: 10.1177/10760296221140114. PMID: 36384306Free PMC Article
Ultrasound in postresuscitation care: a narrative review.
Hsu CY, Chen JY, Lee AF, Huang SS, Lien WC, Chang WT, Huang CH
Eur J Emerg Med 2022 Aug 1;29(4):246-252. Epub 2022 Apr 20 doi: 10.1097/MEJ.0000000000000929. PMID: 35471202
Predictors of Mortality in Neonatal Shock: A Retrospective Cohort Study.
Saini SS, Shrivastav AK, Kumar J, Sundaram V, Mukhopadhyay K, Dutta S, Ray P, Kumar P
Shock 2022 Feb 1;57(2):199-204. doi: 10.1097/SHK.0000000000001887. PMID: 34798634
Outcome of patients with different clinical presentations of high-risk pulmonary embolism.
Ebner M, Sentler C, Harjola VP, Bueno H, Lerchbaumer MH, Hasenfuß G, Eckardt KU, Konstantinides SV, Lankeit M
Eur Heart J Acute Cardiovasc Care 2021 Oct 1;10(7):787-796. doi: 10.1093/ehjacc/zuab038. PMID: 34125186Free PMC Article

Clinical prediction guides

Risk stratification of acute pulmonary embolism.
de Wit K, D'Arsigny CL
J Thromb Haemost 2023 Nov;21(11):3016-3023. Epub 2023 May 13 doi: 10.1016/j.jtha.2023.05.003. PMID: 37187357
Clinical features and management of children with dengue-associated obstructive shock syndrome: A case report.
Nguyen TT, Le NT, Nguyen NM, Do VC, Trinh TH, Vo LT
Medicine (Baltimore) 2022 Oct 28;101(43):e31322. doi: 10.1097/MD.0000000000031322. PMID: 36316901Free PMC Article
Ultrasound in postresuscitation care: a narrative review.
Hsu CY, Chen JY, Lee AF, Huang SS, Lien WC, Chang WT, Huang CH
Eur J Emerg Med 2022 Aug 1;29(4):246-252. Epub 2022 Apr 20 doi: 10.1097/MEJ.0000000000000929. PMID: 35471202
Predictors of Mortality in Neonatal Shock: A Retrospective Cohort Study.
Saini SS, Shrivastav AK, Kumar J, Sundaram V, Mukhopadhyay K, Dutta S, Ray P, Kumar P
Shock 2022 Feb 1;57(2):199-204. doi: 10.1097/SHK.0000000000001887. PMID: 34798634
Pharmacotherapy of circulatory shock.
Higgins TL, Chernow B
Dis Mon 1987 Jun;33(6):309-61. doi: 10.1016/0011-5029(87)90017-4. PMID: 3304905

Recent systematic reviews

Diagnostic accuracy of point-of-care ultrasound for shock: a systematic review and meta-analysis.
Yoshida T, Yoshida T, Noma H, Nomura T, Suzuki A, Mihara T
Crit Care 2023 May 25;27(1):200. doi: 10.1186/s13054-023-04495-6. PMID: 37231510Free PMC Article
Timing of embolic phenomena after hydrogen peroxide exposure - a systematic review.
King A, Fee M, McGlynn E, Marshall B, Akers KG, Hatten B
Clin Toxicol (Phila) 2023 Jan;61(1):12-21. Epub 2022 Nov 28 doi: 10.1080/15563650.2022.2144745. PMID: 36440836
Prevalence, Outcome, and Optimal Management of Free-Floating Right Heart Thrombi in the Context of Pulmonary Embolism, a Systematic Review and Meta-Analysis.
Ibrahim WH, Ata F, Choudry H, Javed H, Shunnar KM, Shams A, Arshad A, Bosom A, Elkahlout MHA, Sawaf B, Ahmed SMA, Olajide T
Clin Appl Thromb Hemost 2022 Jan-Dec;28:10760296221140114. doi: 10.1177/10760296221140114. PMID: 36384306Free PMC Article
The diagnostic accuracy of a point-of-care ultrasound protocol for shock etiology: A systematic review and meta-analysis.
Stickles SP, Carpenter CR, Gekle R, Kraus CK, Scoville C, Theodoro D, Tran VH, Ubiñas G, Raio C
CJEM 2019 May;21(3):406-417. Epub 2019 Jan 30 doi: 10.1017/cem.2018.498. PMID: 30696496

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...