2025 Cardiogenic Shock Chest Pain 
Dr. Smith's ECG Blog
MARCH 27, 2025
He stated later that he gave her 1 sublingual NTG and her pain went down to 1/10. Shes in impella dependent cardiogenic shock w new renal failure. This 60-year old woman clearly presented to the ED as a higher -risk patient given her history of known coronary disease, now with new chest pain. Post cath ekg here.
Dr. Smith's ECG Blog
MARCH 3, 2025
A 69 year old woman with a history of hypertension presented to the emergency department by EMS for evaluation of chest pain and shortness of breath. She awoke in the morning with sharp chest pain which worsened throughout the morning. As her pain worsened, so did her dyspnea. This was written by Hans Helseth.
Dr. Smith's ECG Blog
MARCH 25, 2025
Written by Willy Frick A woman in her 60s with very severe hyperlipidemia (LDL >200 mg/dL) presented with acute onset chest pain. She described the pain as moderate in severity, and said it had come and gone several times over the next few hours before ultimately resolving. Her symptoms began while getting off the bus.
Dr. Smith's ECG Blog
APRIL 9, 2025
A middle-age woman with no previous cardiac history called 911 for chest pain. This was her prehospital ECG: What do you think? There is sinus rhythm with RBBB and obvious LAD OMI (proximal LAD occlusion): hyperacute T-waves in I, aVL and minimal STE in V1, V2. I focus my comment on expanding as to why this is so.
Dr. Smith's ECG Blog
JANUARY 11, 2025
Written by Pendell Meyers An adult man presented with acute chest pain. See our other cases with similar patters, to burn this deep into your brain files: Smith : In my experience, these cases of LAD OMI with RBBB and LAFB are either about to arrest, post-arrest, and/or in cardiogenic shock. He appeared critically ill.
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