Remove 2009 Remove Cardiogenic Shock Remove Myocardial Infarction
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How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?

Dr. Smith's ECG Blog

A temporary pacemaker was implanted, and she was admitted to the ICU with cardiogenic shock. Hyperacute T Wave in the Early Diagnosis of Acute Myocardial Infarction. Interpretation of acute myocardial infarction with persistent “hyperacute T waves” by cardiac magnetic resonance. Ann Emerg Med [Internet].

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

Dr. Smith's ECG Blog

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.

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

Dr. Smith's ECG Blog

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.

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