Review Article

Focused Real-Time Ultrasonography for Nephrologists

Table 1

Ultrasound findings in classic shock states.

ShockHypovolemicDistributiveCardiogenicObstructive

HeartHypercontractile
Small chamber size
Hypercontractile (early sepsis)
Hypocontractile (late sepsis)
Hypocontractile
Dilated heart
Hypercontractile
 Pericardial effusion
 Cardiac tamponade
 RV strain
 Cardiac thrombus
IVCFlat IVCNormal or small IVC (early sepsis)Distended IVCDistended IVC

RV = right ventricle, IVC = inferior vena cava.
Adapted from Perera et al. with the authors’ permission [4].