Angina Cardiogenic Shock Coronary Angiogram 
EMS 12-Lead
JULY 24, 2023
Given the consistency of the clinical profile with typical angina, associated risk factors, and abnormal ECG findings, a cardiology consult was promptly requested. It’s judicious, then, to arrange for coronary angiogram. Severe Tachycardia [HR 75 bpm] Acute Coronary Syndrome (occlusive coronary disease) a.
Dr. Smith's ECG Blog
SEPTEMBER 19, 2023
Heparin bolus (4000u), infusion Plan for rate control 25 mg IV diltiazem given HR = 143 25 mg IV repeat dose diltiazem given HR = 143 Diltiazem drip 10 mg/ hr for ~20 min HR remained 140 - 155 Then the patient developed Cardiogenic shock and echo had poor contractility Amiodarone load given. Patient intubated.
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