Remove Academic Remove AFIB Remove Cardiogenic Shock
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Sudden shock with a Nasty looking ECG. What is it?

Dr. Smith's ECG Blog

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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Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.

Dr. Smith's ECG Blog

The axiom of "type 1 (ACS, plaque rupture) STEMIs are not tachycardic unless they are in cardiogenic shock" is not applicable outside of sinus rhythm. I limit my comments to a number of academic and semantic concepts relating to the arrhythmia in this case: What is an “SVT”?