Arrhythmia, Cardiogenic Shock and Pharmacology

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Arrhythmia

Cardiogenic Shock

Pharmacology

Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.

Dr. Smith's ECG Blog

NOVEMBER 26, 2018

The axiom of "type 1 (ACS, plaque rupture) STEMIs are not tachycardic unless they are in cardiogenic shock" is not applicable outside of sinus rhythm. In some cases the ischemia can be seen "through" the flutter waves, whereas in other cases the arrhythmia must be terminated before the ischemia can be clearly distinguished.

Ischemia

Ischemia Atrial Flutter Arrhythmia Tachycardia

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. This patient’s severe aortic stenosis (AS) and associated severe cardiogenic shock likely created the ECG pattern, resulting in a very difficult challenge for our inpatient team. If you can use Doppler, then you can diagnose it.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Cardiovascular Update

Arrhythmia? Ischemia? Both? Electricity, drugs, lytics, cath lab? You decide.

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

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