Dr. Smith's ECG Blog

FEBRUARY 16, 2020

A previously healthy 53 yo woman was transferred to a receiving hospital in cardiogenic shock. Our chief of cardiology, Gautam Shroff, interprets it differently and thinks this is indeed ischemia. 109 (20):361-368, 2012 — CLICK HERE ). This was sent by a reader. and K was normal. This is "Shark Fin" morphology.

Cardiogenic Shock 52

Cardiogenic Shock STEMI Pericarditis Ischemia 52

Dr. Smith's ECG Blog

OCTOBER 8, 2023

Remember, in diffuse subendocardial ischemia with widespread ST-depression there may b e ST-E in lead s aVR and V1. There are well formed R-waves with good voltage/amplitude which is uncommon for ischemia. The patient died of cardiogenic shock within 24 hours despite mechanical circulatory support. There are also J-waves.

Ischemia 103

Ischemia Chest Pain Cardiogenic Shock Cardiac Arrest 103

Dr. Smith's ECG Blog

MAY 8, 2023

Annals of Emergency Medicine 2012; 60(12):766-776. Impella (cardiac output augmentation device) placed for cardiogenic shock Unfortunately, the patient progressed to multiorgan failure with worsening cardiac output despite being maxed on pressors and a balloon pump. EKG shown here: LAFB with no clear signs of OMI or ischemia.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52