Remove AFIB Remove Cardiogenic Shock Remove Coronary Angiogram
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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?

Dr. Smith's ECG Blog

With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR Literature 1. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists.