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. If you can use Doppler, then you can diagnose it. Circulation.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Dr. Smith's ECG Blog

MAY 8, 2023

American Heart Journal 170(6):1255-1264; December 2015. 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. Derivation in LBBB: --> Smith SW.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52

Open Heart

DECEMBER 26, 2023

Methods A large-scale cohort study of patients with ST-elevation/non-ST-elevation myocardial infarction (MI)/unstable angina underwent coronary angiography (January 2015–December 2019). Patients were classified as older (≥75 years) and younger (≤74 years). vs 86.2%, p<0.001).

Cardiogenic Shock 40

Cardiogenic Shock Myocardial Infarction Outcomes Angina 40

Dr. Smith's ECG Blog

MARCH 3, 2025

Whenever there is tachycardia, I am skeptical of OMI unless it has led to severely compromised ejection fracction with cardiogenic shock. Critical AS complicates hemodynamics of the coronary circulation including hemodynamics of collateral flow ( Wiegerinck et al Circ: Cardiovasc Interven 8(8): e002443, 2015 ).

Tachycardia 74

Tachycardia Pulmonary Chest Pain Stenosis 74