Dr. Smith's ECG Blog

MAY 26, 2023

A 20-something presented after a huge verapamil overdose in cardiogenic shock. Today's patient is a young male who presented in cardiogenic shock following a massive verapamil overdose. It's always rewarding and mutually educational to discuss interesting aspects of arrhythmia interpretation. The initial K was 3.0

Cardiogenic Shock 98

Cardiogenic Shock Arrhythmia Blog Education 98

Frontiers in Cardiovascular Medicine

JANUARY 10, 2024

Introduction The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in extracorporeal cardiopulmonary resuscitation (ECPR) in selected patients after out-of-hospital cardiac arrest (OHCA) is an established method if return of spontaneous circulation cannot be achieved.

Cardiac Arrest 59

Cardiac Arrest Cardiogenic Shock Hospital Arrhythmia 59

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

Introduction The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) in extracorporeal cardiopulmonary resuscitation (eCPR) has emerged as a treatment option for selected patients who are experiencing refractory cardiac arrest (CA).

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Cardiogenic Shock Cardiac Arrest BMI Coronary Artery Disease 64

Dr. Smith's ECG Blog

OCTOBER 8, 2024

Click here to sign up for Queen of Hearts Access Here is the cardiologist's formal interpretation : "sinus rhythm with marked sinus arrhythmia, left ventricular hypertrophy with repolarization abnormality, and anteroseptal infarct, age undetermined." About 45 minutes after the second EKG, the patient was found in cardiac arrest.

Cardiac Arrest 122

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 122

Open Heart

JUNE 5, 2024

SMuRF-less patients were more likely to present with cardiac arrest (6.6% vs 50.8%, p<0.001) and were more likely to experience postprocedural cardiogenic shock (4.5% vs 3.6%, p=0.019) and arrhythmia (11.2% vs 25.4%, p<0.001). vs 3.9%, p<0.001) and ST-elevation myocardial infarction (59.1%

Cardiogenic Shock 52

Cardiogenic Shock Myocardial Infarction Outcomes Coronary Artery Disease 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR Literature 1. Thirty-six patients (36%) presented with cardiac arrest, and 78% (28/36) underwent emergent angiography. This finding does not alter the need to pursue emergent reperfusion, although it might suggest a poorer prognosis.”[3]

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

Figure B At this point, with the ECG changing from diffuse ST depression to widespread ST elevation and the patient presenting in cardiogenic shock, left main coronary artery (LMCA) occlusion is the likely diagnosis. The arrhythmia spontaneously converted before defibrillation was achieved. This is an ominous sign. As per Dr.

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Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 128