Cardiogenic shock: can the well-forgotten old become the new?

When everything new is well-forgotten old: Vygotsky/Luria insights in the development of executive functions.

The concept of "extra-cortical organization of higher mental functions" proposed by Lev Vygotsky and expanded by Alexander Luria extends cultural-historical psychology regarding the interplay of natural and cultural factors in the development of the human mind. Using the example of self-regulation, the authors explore the evolution of this idea from its origins to recent findings on the neurops...

Cardiogenic Shock: Hold the Fluids

Cardiogenic shock.

The syndrome of cardiogenic shock (CS) comprises a constellation of symptoms and signs that define a subset of patients with inadequate tissue perfusion secondary to myocardial dysfunction. Careful attention to and rapid identification of patients at risk for the development of CS and those with impending CS by both hospitalists and subspecialists will help to implement the time-sensitive thera...

Cardiogenic Shock

Syncope and cardiogenic shock in an 80-year-old woman

Accepted 20 January 2018 DesCripTion An 80-year-old woman presented with a 2-day history of breathlessness and syncope. Her medical history included Parkinson’s disease and a recent diagnosis of myelodysplasia for which she had undergone a (painful) bone marrow aspiration 2 days earlier. Presentation blood pressure (BP) was 69/38 mm Hg (and fell further to 59/40 mm Hg with impaired conscious le...