SCAI SHOCK Cardiogenic-Shock Stage

SCAI SHOCK cardiogenic-shock stage A–E (Naidu 2022; Kadosh/Kapur operationalization) from systolic BP, lactate, and the level of vasoactive/mechanical support, with a cardiac-arrest modifier.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Systolic blood pressure
80 mmHg
Serum lactate
3 mmol/L
Vasoactive / mechanical support level
One intervention (1 vasopressor/inotrope or 1 device)

Result: SCAI stage C (classic) — associated in-hospital mortality signal ~12.4% (Mayo CICU).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Stages
A at risk, B beginning, C classic, D deteriorating, E extremis — from hypotension, lactate, and support level, with a cardiac-arrest modifier.
Mortality
Jentzer 2019 Mayo CICU in-hospital mortality: A 3.0%, B 7.1%, C 12.4%, D 40.4%, E 67.0%. A severity vocabulary, not an order.

What you enter

  • Systolic blood pressure
  • Serum lactate
  • Vasoactive / mechanical support level
  • Cardiac arrest / circulatory collapse
  • Hypotension/hypoperfusion persisting despite initial support
How this is calculated

Naidu SS, Baran DA, Jentzer JC, et al. SCAI SHOCK stage classification expert consensus update. J Soc Cardiovasc Angiogr Interv. 2022;1(1):100008. Operationalization: Kadosh BS, Kapur NK, et al. J Am Coll Cardiol. 2022;80(3):185-198. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.