ischemia
The       pathophysiology of cardiogenic shock is characterized by a downward spiral:       ischemia causes myocardial dysfunction, which, in turn, augments the ischemic       damage and the energetical imbalance.
The       pathophysiology of cardiogenic shock is characterized by a downward spiral:        @SUBJECT$   @PREDICAT$   @OBJECT$ , which, in turn, augments the ischemic       damage and the energetical imbalance.