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Ventilation strategies in cardiogenic shock: Insights from the AltShock‐2 registry

European Journal of Heart Failure

Ventilatory modalities in cardiogenic shock: insights from the AltShock-2 registry. Aims To describe the use and the relation to outcome of different ventilation strategies in a contemporary, large, prospective registry of cardiogenic shock patients. All-cause mortality at 24h did not differ amongst the three groups.

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Impella and venoarterial extracorporeal membrane oxygenation in cardiogenic shock complicating acute myocardial infarction

European Journal of Heart Failure

Impella and venoarterial extracorporeal membrane oxygenation (VA-ECMO) in patients with acute myocardial infarction-related cardiogenic shock (AMICS). Impella patients were older (34% vs. 13% >75 years, p  < 0.001) and less frequently presented after an out-of-hospital cardiac arrest (18% vs. 40%, p  < 0.001).

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How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?

Dr. Smith's ECG Blog

About 45 minutes after the second EKG, the patient was found in cardiac arrest. A temporary pacemaker was implanted, and she was admitted to the ICU with cardiogenic shock. Later the next day, she went into cardiac arrest again. By the time I saw the repeat EKG, the patient was already in cardiac arrest.

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Incidence and predictors of weaning failure from veno‐arterial extracorporeal membrane oxygenation therapy in patients with cardiogenic shock

European Journal of Heart Failure

Predictors of weaning failure from veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock. The cause of CS was acute myocardial infarction in 438 (63.9%) patients, and 431 (62.9%) patients presented with cardiac arrest. RRT, renal replacement therapy. interquartile range 4.112.7]

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Extreme shock and cardiac arrest in COVID patient

Dr. Smith's ECG Blog

Lactate was 20, POC Cardiac US showed EF estimated at 30%, and formal echo showed EF of only 15%, and a normal RV. Assessment was severe sudden cardiogenic shock. Clinically — the patient was felt to be in cardiogenic shock. They recorded an EC G: New ST Elevation. What is it? There is STE in V2-V6.

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Extracorporeal membrane oxygenation in the therapy of cardiogenic shock: 1‐year outcomes of the multicentre, randomized ECMO‐CS trial

European Journal of Heart Failure

Aims Among patients with cardiogenic shock, immediate initiation of extracorporeal membrane oxygenation (ECMO) did not demonstrate any benefit at 30days. The present study evaluated 1-year clinical outcomes of the Extracorporeal Membrane Oxygenation in the therapy of Cardiogenic Shock (ECMO-CS) trial.

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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

The patient in today’s case presented in cardiogenic shock from proximal LAD occlusion, in conjunction with a subtotally stenosed LMCA. baseline (this is what most recommend but seems like far too much QRS widening to me) = See these articles and this graphic: 1. LAD — 100% proximal occlusion; with 70-89% mid-vessel narrowing.