AFIB, Cardiac Arrest and Plaque - Cardiovascular Update

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AFIB

Cardiac Arrest

Plaque

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. Thirty-six patients (36%) presented with cardiac arrest, and 78% (28/36) underwent emergent angiography. See this case: what do you think the echocardiogram shows in this case?

Ischemia

Ischemia STEMI Stenosis Chest Pain

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

OCTOBER 10, 2022

As in all ischemia interpretations with OMI findings, the findings can be due to type 1 AMI (example: acute coronary plaque rupture and thrombosis) or type 2 AMI (with or without fixed CAD, with severe regional supply/demand mismatch essentially equaling zero blood flow). He had multiple cardiac arrests with ROSC regained each time.

Cardiac Arrest

Cardiac Arrest Chest Pain Embolism Pulmonary

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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

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