Remove 2020 Remove Cardiogenic Shock Remove Pulmonary
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Two patients with chest pain and RBBB: do either have occlusion MI?

Dr. Smith's ECG Blog

Smith comment: before reading anything else, this case screamed pulmonary embolism to me. I would do bedside ultrasound to look at the RV, look for B lines as a cause of hypoxia (which would support OMI, and argue against PE), and if any doubt persists, a rapid CT pulmonary angiogram. There is sinus tachycardia at ~100/minute.

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Extreme shock and cardiac arrest in COVID patient

Dr. Smith's ECG Blog

Assessment was severe sudden cardiogenic shock. and the patient was converted to veno-venous (V-V) ECMO due to persistent pulmonary insufficiency. JAMA Cardiol [Internet] 2020;Available from: [link] 4. JAMA Cardiol [Internet] 2020;Available from: [link] 5. JAMA Cardiol [Internet] 2020;Available from: [link] 6.

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Are these Wellens' waves?

Dr. Smith's ECG Blog

My answer: "This is classic for PE, but it can also be present in any hypoxia due pulmonary hypoxic vasoconstriction and resulting acute pulmonary hypertension and acute right heart strain. Tachycardia is unusual in ACS unless there is cardiogenic shock or a second simultaneous pathology. This is NOT Wellens.

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Published Research

Society of Thoracic Surgeons - Research

Mark Erfe Outcomes of Sutureless/Rapid Deployment Valves Compared to Traditional Bioprosthetic Aortic Valves The Annals of Thoracic Surgery September 2020 J.

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Published Research

Society of Thoracic Surgeons - Research

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)