2015, Cardiogenic Shock and Echocardiogram

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

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

A transthoracic echocardiogram showed an LV EF of less than 15%, critically severe aortic stenosis , severe LVH , and a small LV cavity. Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. Fundamentally, cardiogenic shock is an issue of decreased cardiac output.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

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

Tachycardia Pulmonary Chest Pain Stenosis

Cardiovascular Update

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

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

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