Frontiers in Cardiovascular Medicine

FEBRUARY 24, 2025

A 71-year-old male admitted to the emergency department on July 19, 2024, with acute loss of consciousness and convulsions. This case report describes a unique instance of a patient developing AEF following AF ablation, accompanied by ischemic stroke and myocardial infarction.

Atrial Fibrillation 52

Atrial Fibrillation Ablation Cardiogenic Shock Myocardial Infarction 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

Figure B At this point, with the ECG changing from diffuse ST depression to widespread ST elevation and the patient presenting in cardiogenic shock, left main coronary artery (LMCA) occlusion is the likely diagnosis. And then, 15 minutes later in today's case — this patient was in cardiogenic shock.

Cardiogenic Shock 128

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128

The American Journal of Cardiology

JULY 24, 2024

Publication date: Available online 23 July 2024 Source: The American Journal of Cardiology Author(s): Kahtan Fadah, Helayna Abraham, Subhash Banerjee, Debabrata Mukherjee

Cardiogenic Shock 52

Cardiogenic Shock Myocardial Infarction 52

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4136694-A4136694, November 12, 2024. Background:Venoarterial-extracorporeal membrane oxygenation (VA-ECMO) is used to treat cardiogenic shock. to 1.36) but not in VA-ECMO with IABP (1.80 to 1.96) and VA-ECMO alone (1.94

Cardiogenic Shock 40

Cardiogenic Shock Pulmonary Aortic Circulation 40

The American Journal of Cardiology

NOVEMBER 2, 2024

Publication date: Available online 1 November 2024 Source: The American Journal of Cardiology Author(s): S. Shiva Patlolla, Amit H. Alam, Jason N. Katz, Shelley A.

Cardiogenic Shock 40

Cardiogenic Shock 40

The American Journal of Cardiology

SEPTEMBER 4, 2024

Publication date: Available online 4 September 2024 Source: The American Journal of Cardiology Author(s): Marcos García-Guimarães, Manel Sabaté, Ignacio Cruz-González, Ernesto Valero, Teresa Bastante, Fernando Alfonso, investigators of the Spanish Registry on Spontaneous Coronary Artery Dissection

Cardiogenic Shock 40

Cardiogenic Shock 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4143363-A4143363, November 12, 2024. Background:Various temporary mechanical circulatory support device (t-MCS) options are available for supporting patients in cardiogenic shock.

Cardiogenic Shock 40

Cardiogenic Shock Cancer Heart Failure Physiology 40

DAIC

JULY 29, 2024

christine.book Mon, 07/29/2024 - 11:57 July 29, 2024 — Magenta Medical , developer of Elevate, the world's smallest heart pump, has closed a $105M financing round led by global healthcare investment firm Novo Holdings. FDA for two clinical indications: high-risk percutaneous coronary intervention (HR-PCI) and cardiogenic shock (CS).

Cardiogenic Shock 105

Cardiogenic Shock Blood Pressure Technology Aortic valve 105

The American Journal of Cardiology

DECEMBER 13, 2023

Publication date: 15 January 2024 Source: The American Journal of Cardiology, Volume 211 Author(s): Marco Zuin, Claudio Bilato, Thach Nguyen, Ramesh Daggubati, Gianluca Rigatelli

Cardiogenic Shock 52

Cardiogenic Shock 52

DAIC

APRIL 8, 2024

milla1cf Mon, 04/08/2024 - 18:07 April 8, 2024 — Implantation of the Impella CP micro-axial flow pump in the hours after a heart attack significantly increased the rate of survival at six months among people suffering cardiogenic shock, according to a study presented at the American College of Cardiology ’s Annual Scientific Session.

Heart attacks 52

Heart attacks Heart Attack Cardiogenic Shock Catheterization Laboratory 52

The American Journal of Cardiology

APRIL 6, 2024

Publication date: Available online 5 April 2024 Source: The American Journal of Cardiology Author(s): Amit Saha, Shuang Li, James A. de Lemos, Ambarish Pandey, Deepak L. Bhatt, Gregg C. Fonarow, Brahmajee K. Nallamothu, Tracy Y.MHS WangMSc, Ann Marie Navar, Eric Peterson, Roland A. Matsouaka, Anthony A. Bavry, Sandeep R. Das, Justin L.

Cardiogenic Shock 40

Cardiogenic Shock Myocardial Infarction Hospital 40

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.

Cardiogenic Shock 127

Cardiogenic Shock Cardiac Arrest Hospital Ischemia 127

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. Hammill SC.

Cardiogenic Shock 109

Cardiogenic Shock Chest Pain Pericarditis Myocardial Infarction 109

The American Journal of Cardiology

NOVEMBER 11, 2024

Publication date: Available online 10 November 2024 Source: The American Journal of Cardiology Author(s): Giuseppe Tarantini, Andrea Panza, Giulia Lorenzoni, Dario Gregori, Giulia Masiero

Cardiogenic Shock 40

Cardiogenic Shock 40

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.

Cardiogenic Shock 128

Cardiogenic Shock Ultrasound Tachycardia Pulmonary 128

DAIC

MARCH 21, 2024

milla1cf Thu, 03/21/2024 - 11:08 March 21, 2024 — The U.S. Food and Drug Administration ( FDA ) announced that Abiomed is recalling the Instructions for Use for its Impella Left Sided Blood Pumps because the pump catheter may perforate (cut) the wall of the left ventricle in the heart.

Cardiogenic Shock 104

Cardiogenic Shock Open-Heart Surgery Myocardial Infarction Heart Attack 104

The American Journal of Cardiology

OCTOBER 5, 2024

Publication date: Available online 5 October 2024 Source: The American Journal of Cardiology Author(s): Meghana Iyer, Khaled Ziada, Leslie Cho, Jacqueline Tamis-Holland, Umesh Khot, Amar Krishnaswamy, Rishi Puri, Samir Kapadia, Grant W Reed

Cardiogenic Shock 40

Cardiogenic Shock Kidney Disease Heart Failure 40

The American Journal of Cardiology

OCTOBER 11, 2024

Publication date: Available online 11 October 2024 Source: The American Journal of Cardiology Author(s): Carlos Diaz-Arocutipa, Norma Nicole Gamarra-Valverde, Rafael Salguero, Roberto Martín-Asenjo, Lourdes Vicent

Cardiogenic Shock 40

Cardiogenic Shock Myocardial Infarction Outcomes 40

American College of Cardiology

NOVEMBER 18, 2024

Older patients with STEMI-related cardiogenic shock have a greater risk of mortality and may not experience the same benefit from microaxial flow pump (mAFP) treatment as their younger counterparts, according to an exploratory secondary analysis of the DanGer Shock trial presented at AHA 2024 and simultaneously published in JACC.

Cardiogenic Shock 40

Cardiogenic Shock STEMI Article 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4142969-A4142969, November 12, 2024. Background:Temporary mechanical circulatory support devices (t-MCS) facilitate recovery of the patients, to then bridge them to cardiac replacement. A new paradigm of resting and recovering the heart with a t-MCS device is being explored.

Cardiogenic Shock 40

Cardiogenic Shock Heart Failure Aortic Circulation 40

Nature Reviews - Cardiology

FEBRUARY 21, 2024

Nature Reviews Cardiology, Published online: 22 February 2024; doi:10.1038/s41569-024-01002-4 Using a porcine model of cardiogenic shock, Lamberti and colleagues develop a clinically accessible, patient-validated metric to assess pulmonary vascular compliance that can predict tolerance to left-sided ventricular assist device support.

Cardiogenic Shock 40

Cardiogenic Shock Pulmonary 40

Clinical Trial Results

SEPTEMBER 2, 2024

Disclosures: TBD

Cardiogenic Shock 40

Cardiogenic Shock Myocardial Infarction 40

Dr. Smith's ECG Blog

JULY 9, 2024

Here is the Queen of Hearts (version 1) interpretation: Click here to sign up for Queen of Hearts Access Angiogram images before and after intervention: Another view (before and after intervention): The patient was confirmed to be in cardiogenic shock, placed on ECMO, also with impella assist device.

Defibrillator 116

Defibrillator STEMI Cardiac Arrest Cardiogenic Shock 116

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4118341-A4118341, November 12, 2024. There was a non-significant increased risk of cardiogenic shock (aOR 1.14, 95% CI 0.87 - 1.5, Background:Opioid use has increased significantly in the past few decades, impacting cardiac and non-cardiac patients.

Preserved Ejection Fraction 40

Preserved Ejection Fraction Inpatient Cardiogenic Shock Heart Failure 40

Dr. Smith's ECG Blog

JULY 21, 2024

The patient in today’s case presented in cardiogenic shock from proximal LAD occlusion, in conjunction with a subtotally stenosed LMCA. LAD — 100% proximal occlusion; with 70-89% mid-vessel narrowing. LCx — 50-69% stenosis of the 1st marginal branch; with 100% distal LCx occlusion. RCA — 100% proximal occlussion.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Circulation: Cardiovascular Interventions

FEBRUARY 27, 2024

INTRODUCTION:Percutaneous coronary intervention for complex coronary disease is associated with a high risk of cardiogenic shock. Cardiogenic shock and acute ST-segment–elevation myocardial infarction are exclusions. Circulation: Cardiovascular Interventions, Ahead of Print.

Cardiogenic Shock 40

Cardiogenic Shock Myocardial Infarction Coronary Artery Disease Quality of Life 40

Ken Grauer, MD

AUGUST 16, 2024

See ECG Blog #435 — ECG Blog #313 — as well as My Comment at the bottom of the page in the June 17, 2024 post in Dr. Smith's ECG Blog ). PEARL # 2: In the absence of associated heart failure ( cardiogenic shock ) — sinus tachycardia is not a common finding in acute MI. Sinus Tachycardia and RAD — as already noted above.

Blog 152

Blog Tachycardia Cardiogenic Shock Pulmonary 152

Clinical Trial Results

SEPTEMBER 2, 2024

Thiele_Holger Meta analysis Download Disclosures: TBD

Cardiogenic Shock 40

Cardiogenic Shock Download 40

Dr. Smith's ECG Blog

OCTOBER 8, 2024

A temporary pacemaker was implanted, and she was admitted to the ICU with cardiogenic shock. Available from: [link] Click here to sign up for Queen of Hearts Access == MY Comment , by K EN G RAUER, MD ( 10/8 /2024 ): == It’s always easier to look back at a case from the comfort of one’s home — and to criticize decisions that were made.

Cardiac Arrest 123

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 123

DAIC

FEBRUARY 29, 2024

Image courtesy: ACC christine.book Thu, 02/29/2024 - 11:22 February 29, 2024 — The American College of Cardiology ( ACC ) will soon be holding its ACC 73rd Annual Scientific Session & Expo , ACC.24 24 from April 6 - 8, 2024 in Atlanta, GA at the Georgia World Congress Center.

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Dr. Smith's ECG Blog

OCTOBER 1, 2024

== MY Comment , by K EN G RAUER, MD ( 8/30 /2024 ): == I was sent the ECG shown in Figure-1 — knowing only that the patient was being seen in the ED ( E mergency D epartment ). The patient died of cardiogenic shock: Go to the post to see the full explanation. How would you interpret this tracing?

Tachycardia 113

Tachycardia Cardiogenic Shock Arrhythmia STEMI 113

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 83

Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 83

Dr. Smith's ECG Blog

SEPTEMBER 12, 2024

Smith : LAD OMI with RBBB/LAFB is not only subtle on the ECG, but most of these patients are extremely ill: most I have seen are post-ROSC, in cardiogenic shock, or arrested shortly after.

Chest Pain 121

Chest Pain STEMI Cardiogenic Shock Heart Failure 121

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4145414-A4145414, November 12, 2024. L/min/m2, suggestive of myopericarditis with cardiogenic shock. Background:Kawasaki disease (KD) is a systemic vasculitis that is rare and underdiagnosed in adults given its atypical presentation, especially in non-Asian patients.

Cardiogenic Shock 40

Cardiogenic Shock Chest Pain Aneurysm Circulation 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4143844-A4143844, November 12, 2024.

Heart Failure 40

Heart Failure Cardiogenic Shock ICU Cardiothoracic 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4135265-A4135265, November 12, 2024. Topics included management of arrhythmias, structural heart disease, ischemia, cardiogenic shock, and post-procedure complications. However, the resources available are mainly intended for advanced cardiology trainees.

Cardiogenic Shock 40

Cardiogenic Shock Arrhythmia Article Ischemia 40

The British Journal of Cardiology

APRIL 16, 2024

Clinical presentation was stable angina 130/567 (22.9%), non-ST-elevation acute coronary syndrome (NSTEACS) 312/567 (55%), ST-elevation myocardial infarction (STEMI) 125/567 (22.0%), and STEMI with cardiogenic shock 13/125 (10.4%). The radial approach was used in 544/567 (95.94%), the average SYNTAX score was 34.8 ± 9.6,

Outcomes 40

Outcomes Cardiogenic Shock Angina STEMI 40