Rejected at 10:05 p.m. Mar, 03, 2025 ] by andrewmathias8
Author: docox123
Related Note: 1557739493988
Rationale for change

Changed "normal" cardiac index to "decreased"

The reason why is supported by both the current card explanation in the "Extra" section and on Amboss:

The cardiac index (LV output/ cardiac output) in distributive shock is increased initially (due to increased HR and contractility), and eventually decreases over time (decreased preload and myocardial depression by cytokines decreaseds the cardiac output according to Amboss).

I'm not sure why it was listed as being "normal or increased" as it sits right now on this card.
Source: AMBOSS - https://next.amboss.com/us/article/kO0msT?q=distributive%20shock#gkcFMc0

Rejection reason

This issue has been resolved via a different user's suggestion. Thanks!

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