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 93

Cardiogenic Shock Arrhythmia Blog Education 93

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

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.

Cardiogenic Shock 133

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 133

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).

Cardiogenic Shock 64

Cardiogenic Shock Cardiac Arrest BMI Coronary Artery Disease 64

Dr. Smith's ECG Blog

MAY 3, 2024

Some patients have baseline RBBB with LAFB, but in patients with likely ACS, these are associated with severe infarction with cardiac arrest, cardiogenic shock or impending shock. Suffice it to say that, "The heart does whatever it will do when a patient is about to arrest".

Cardiogenic Shock 125

Cardiogenic Shock Cardiac Arrest Hospital Ischemia 125

Dr. Smith's ECG Blog

JULY 21, 2024

The patient in today’s case presented in cardiogenic shock from proximal LAD occlusion, in conjunction with a subtotally stenosed LMCA. However, he suddenly developed a series of malignant ventricular arrhythmias. Below are printouts of some of the arrhythmias recorded. RCA — 100% proximal occlussion. What do you think?

Arrhythmia 125

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 125

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 119

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 119