विच्छेदनकारी (मनोवैज्ञानिक) आघात (dissociative shock) से पीड़ित रोगी में कौन सा नैदानिक लक्षण दिखने की सबसे अधिक संभावना है?

During an acute myocardial infarction, which primary change in coronary circulation directly leads to myocardial injury?

A trauma patient presents with tachycardia, hypotension, cool and clammy extremities, and a weak, thready pulse. What type of shock is most likely represented here?