2009, Cardiogenic Shock and Myocardial Infarction

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2009

Cardiogenic Shock

Myocardial Infarction

Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

Dr. Smith's ECG Blog

JULY 18, 2014

ng/ml and was falling, confirming infarction days ago. Case Continued 2 days later the patient became increasingly tachycardic, hypotensive, ashen, clammy (in cardiogenic shock) and had a new murmur. Apr 28, 2009. The initial troponin I was 23.7 This was the 12-lead ECG. No resolution of ST elevation. Armstrong PW et al.

STEMI

STEMI Pericarditis Myocardial Infarction Cardiogenic Shock

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. This patient’s severe aortic stenosis (AS) and associated severe cardiogenic shock likely created the ECG pattern, resulting in a very difficult challenge for our inpatient team. NEJM 362(9):779; March 4, 2009.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Cardiovascular Update

Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

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