Remove AFIB Remove Cardiogenic Shock Remove Critical Care
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Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?

Dr. Smith's ECG Blog

Because of the tachcardia, I would expect her to be very poor left ventricular function and maybe Cardiogenic shock. Today’s patient developed the series of 4 tachyarrhythmias shown above in the critical care area of the ED. Instead, he complained of left chest "itchiness". Not all anterior LV aneurysm has a QS-wave.

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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. Tachycardia is unusual for OMI, unless the patient is in cardiogenic shock (or getting close). Written by Colin Jenkins. Edits by Willy Frick.