AFIB, Pericarditis and Plaque - Cardiovascular Update

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). The rhythm is rapid AFib. What is the Diagnosis?

Cardiac Arrest

Cardiac Arrest Chest Pain Embolism Pulmonary

Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

JANUARY 15, 2024

The "flu-like" illness suggests myo- or pericarditis, but that would be a diagnosis of exclusion. As an aside, the LCx OMI is a type 2 event, since it is due to supply-demand mismatch from thrombus, and not due to atherosclerotic plaque rupture or erosion). Do not wait for the troponin; a lot of myocardium will be dead if you do.

Chest Pain

Chest Pain Blog Arrhythmia Critical Care

Cardiovascular Update

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

Noisy, low amplitude ECG in a patient with chest pain

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