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Henry Ford Health's National CardiogenicShock Initiative research team. Cardiogenicshock is a critical condition in which the heart is unable to pump enough blood to sustain the body’s needs, depriving vital organs of blood supply. This can cause those organs to eventually stop functioning.
Past medical history includes coronary stenting 17 years prior. If you take old people with a history of MI (he had a stent), that percentage goes far higher since there is scar tissue that acts as a nidus for the PVCs that initiate VT. Definitive diagnosis that ECG #1 is in fact VT is more than academic. Patient intubated.
A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. The notes now refer to the patient being in cardiogenicshock, on pressors. Am J Emerg Med. 2014;32:e5–e8. J Cardiol Cases.
We recorded an ECG in which V1-V3 were put in the position of V4R-V6R, and V4-6 were placed in V7-9 to (academically) confirm posterior OMI. I say academically because the STD in V2 is diagnostic -- posterior leads are NOT necessary. Angiogram: Culprit Lesion (s): Thrombotic occlusion of the proximal RCA -- stented. What to do?
The axiom of "type 1 (ACS, plaque rupture) STEMIs are not tachycardic unless they are in cardiogenicshock" 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”? Serial troponin T measurements rose from zero to 2.80
Welcome to 2025 and best wishes for a great academic journey to all readers. Collected from ACC website (Arranged in three heading) These are the creamy academic extract of whatever happened over the last one year. 24) Microaxial Flow Pump in Infarct-Related CardiogenicShock DanGer Shock (ACC.24)
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