How is the presentation of CS?

Pt commonly present with cool extremities and signs of pulmonary cogenstion (Cold and wet presentation (reduced cardiac index, increased vascular resistance, and increased PCWP)) Pt may also present Cold and dry (reduced CI, increased resistance but normal PCWP- euvolumic (were exposed to previous MI or CKD)) Wet and warm (also could occur, systemic inflammatory response syndrome in conjugation with MI with higher degree of mortality and sepsis, pt have reduced CI, low-normal vascular resistance, elevated PCWP