Open Heart

DECEMBER 7, 2023

Introduction Cardiogenic shock (CS) complicates 5%–15% of cases of acute myocardial infarction (AMI) with inpatient mortality greater than 40%. This prospective registry includes all patients >18 years of age presenting with STEMI with or without CS beginning on 1 February 2023.

Cardiogenic Shock 52

Cardiogenic Shock Myocardial Infarction STEMI Heart Attack 52

European Journal of Heart Failure

DECEMBER 11, 2024

In acute heart failure caused by VHD, symptoms result from rapid haemodynamic changes and subsequent decline in cardiac function, and if left untreated, leads to acute decompensation and cardiogenic shock. After screening a total of 2234 articles, 76 published between 1994 and 2023 were included in subsequent analysis.

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Cardiogenic Shock Heart Disease Heart Failure Bicuspid/Mitral 68

Circulation

NOVEMBER 11, 2024

Background:Venoarterial-extracorporeal membrane oxygenation (VA-ECMO) is used to treat cardiogenic shock. Conclusion:An LV support device may be associated with reduced mortality and increased success in weaning off VA-ECMO in patients with cardiogenic shock. to 1.36) but not in VA-ECMO with IABP (1.80

Cardiogenic Shock 40

Cardiogenic Shock Pulmonary Aortic Circulation 40

Journal of the American Heart Association

DECEMBER 1, 2023

Journal of the American Heart Association, Volume 12, Issue 23 , December 5, 2023. ConclusionsOur study revealed substantial changes in the use of different mechanical circulatory support modalities in acute coronary syndrome complicated with cardiogenic shock, but they did not significantly improve the outcomes.

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Cardiogenic Shock Outcomes Aortic Hospital 40

DAIC

JULY 29, 2024

FDA for two clinical indications: high-risk percutaneous coronary intervention (HR-PCI) and cardiogenic shock (CS). Early Feasibility Study with the HR-PCI indication in 2023. Because of these potential advantages, Magenta's Elevate System was granted Breakthrough Device Designation by the U.S. Magenta completed a U.S.

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Cardiogenic Shock Blood Pressure Technology Aortic valve 105

DAIC

MARCH 21, 2024

with SmartAssist ; Impella LD Product Codes: See Recall Database Entry Distribution Dates: October 10, 2021 to October 10, 2023 Devices Recalled in the U.S.: Recalled Product US Available Product Names: Impella 2.5; Impella CP; Impella CP with SmartAssist; Impella 5.0;

Cardiogenic Shock 104

Cardiogenic Shock Open-Heart Surgery Myocardial Infarction Heart Attack 104

Dr. Smith's ECG Blog

MAY 3, 2024

Some patients have baseline RBBB with LAFB, but in patients with likely ACS, these are associated with severe infarction with cardiac arrest, cardiogenic shock or impending shock. Today's patient did make it to the hospital — but was in cardiogenic shock, and despite valiant attempt at treatment, succumbed soon after.

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Cardiogenic Shock Cardiac Arrest Hospital Ischemia 126

Dr. Smith's ECG Blog

SEPTEMBER 5, 2024

The VSR is what is causing the cardiogenic shock! Mechanical complications occur acutely and significantly alter hemodynamics leading to comp ensatory mechanism which usually involve vasoconstriction and tachycardia, both hallmarks of cardiogenic shock. PIRP is strongly associated with myocardial rupture.

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Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction 109

Dr. Smith's ECG Blog

SEPTEMBER 23, 2024

Taking a step back , remember that sinus tachycardia is less commonly seen in OMI (except in cases of impending cardiogenic shock). As per Dr. Frick — sinus tachycardia is usually not seen with acute OMI unless the patient is in cardiogenic shock. Additionally, there is borderline right axis deviation. Both were wrong.

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Cardiogenic Shock Ultrasound Tachycardia Pulmonary 127

Frontiers in Cardiovascular Medicine

MARCH 10, 2024

Results The 66 included articles spanned the years 2005–2023. 1.77), cardiogenic shock (pooled RR 3.68, 95% CI 2.65–5.11), After full-text screening, 66 articles were included for systematic review, and 62 articles were further selected for meta-analysis. Most studies defined STEMI with primary PCI as their inclusion criteria.

Myocardial Infarction 59

Myocardial Infarction Cardiogenic Shock Article STEMI 59

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Heparin bolus (4000u), infusion Plan for rate control 25 mg IV diltiazem given HR = 143 25 mg IV repeat dose diltiazem given HR = 143 Diltiazem drip 10 mg/ hr for ~20 min HR remained 140 - 155 Then the patient developed Cardiogenic shock and echo had poor contractility Amiodarone load given. Patient intubated.

Tachycardia 138

Tachycardia Cardiogenic Shock Angina Coronary Angiogram 138

Stroke Journal

JANUARY 30, 2025

Primary outcome was ischemic stroke, while secondary outcomes were all-cause mortality, heart failure, cardiogenic shock, MACE (composite of all-cause mortality, heart failure, and ischemic stroke), and acute kidney injury (AKI).Result:After Both groups were followed for 12 months. 0.96), P = 0.001) when compared with White patients.

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Cardiogenic Shock Strokes Stroke Outcomes 40

Ken Grauer, MD

AUGUST 16, 2024

PEARL # 2: In the absence of associated heart failure ( cardiogenic shock ) — sinus tachycardia is not a common finding in acute MI. For now — Let's continue with ECG signs consistent with and suggestive of acute RV "Strain". Sinus Tachycardia and RAD — as already noted above.

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Blog Tachycardia Cardiogenic Shock Pulmonary 156

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

The notes now refer to the patient being in cardiogenic shock, on pressors. hours from presentation, where he was found to have an acute thrombotic LAD occlusion which was stented with resulting TIMI 3 flow, but still the patient was in severe cardiogenic shock. Time = 3 hours: the next troponin returns at 60 ng/L.

Chest Pain 82

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 82

DAIC

FEBRUARY 29, 2024

24 will focus on the following three current guideline updates: American College of Cardiology (ACC)/American Heart Association (AHA) Guidelines 2023 Atrial Fibrillation Guideline - Pharmacology II: Strokes vs. Bleeds, What Do the Guidelines Tell Us About Practical Management in A-fib? The Guidelines Sessions at ACC.24

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Dr. Smith's ECG Blog

SEPTEMBER 17, 2023

Smith's book : Learning points: 1) OMI can be very subtle and RV infarction may manifest poorly on the standard ECG. 2) Typical persistent chest pain with a sigificantly elevated troponin is OMI until proven otherwise, regardless of the ECG. Our THANKS to Dr. Magnus Nossen for sharing this case with us.

Pulmonary 116

Pulmonary Tricuspid Chest Pain Cardiogenic Shock 116

Dr. Smith's ECG Blog

OCTOBER 8, 2023

The patient died of cardiogenic shock within 24 hours despite mechanical circulatory support. The axis is to the right and QRS complexes in lead I and aVL are predominantly negative suggesting LPFB. This patient at cath had a large CX occlusion with a massive troponin release. Troponin T >42.000ng/L.

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Ischemia Chest Pain Cardiogenic Shock Cardiac Arrest 122

Dr. Smith's ECG Blog

OCTOBER 6, 2023

His included cardiogenic shock, V Tach, AV block. See My Comment in the April 17, 2023 post for more on this pattern ). == Take Another Look at the initial ECG — and the repeat tracing done 9 minutes later ( Figure-2 ): Was there any way to recognize acute LAD OMI from the initial ECG? He was hospitalized for 16 days.

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Aneurysm Chest Pain Cardiogenic Shock Blog 66

Dr. Smith's ECG Blog

JANUARY 15, 2024

Tachycardia is unusual for OMI, unless the patient is in cardiogenic shock (or getting close). The September 15, 2023 post — for PTA ( Pulse-Tap Artifact ). The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ).

Chest Pain 64

Chest Pain Blog Arrhythmia Critical Care 64

DAIC

MARCH 25, 2024

Highlights include: Vexing Valves (Session 501) Extreme Makeover, Diet Edition - Debating Controversies in Cardiovascular Health (Session 502) Game of Shones (Session 503) Top Intervention Trials of 2023 (Session 504) The Great ECG Challenge (Session 505) Under Pressure, Debating Hemodynamics With the Experts (Session 506) Critical Care Cardiology (..)

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Education Cardiogenic Shock Heart Failure Plaque 59

Dr. Smith's ECG Blog

MAY 8, 2023

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. He expired 4 days later. Interestingly, this patient was seen in the ED for hypertension and headache 3 days earlier.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Dr. S. Venkatesan MD

JANUARY 1, 2025

24) Microaxial Flow Pump in Infarct-Related Cardiogenic Shock DanGer Shock (ACC.24) 24) Microaxial Flow Pump in Infarct-Related Cardiogenic Shock DanGer Shock (ACC.24) What happened to top 10 cardiology research papers of 2023 ? Did we follow up ? what is the Impact of them in the bed side ?

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Cardiogenic Shock Plaque Academic Bicuspid/Mitral 59

Dr. Smith's ECG Blog

APRIL 9, 2025

1) as far as I can tell, there is very little data on amiodarone for this indication 2) amiodarone has beta blockade effects which could be deleterious in a patient with large anterior MI with pulmonary edema and at risk for cardiogenic shock (and she did go into shock. Among the causes of Low Voltage that I list in this Dec.

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Defibrillator Cardiac Arrest Myocardial Infarction STEMI 60

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. However, there is also significant tachycardia , with heart rate of 116, and known hypoxia. Or I suspect that there is OMI simultaneous with another pathology.

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Tachycardia Pulmonary Chest Pain Stenosis 73