INTRODUCTION The presentation of cardiogenic shock(CS)is usually straightforward,and includes hypotension,absence of hypovolemia,and clinical signs of poor tissue perfusion such as oliguria,cyanosis,cool extremities and altered mentation.~([1]) INTRODUCTION The presentation of cardiogenic shock (CS) is usually straightforward, and includes hypotension, absence of hypovolemia, and clinical signs of poor tissue perfusion such as oliguria, cyanosis, cool extremities and implantation. ~ ([1])