Atrial Flutter, Cardiogenic Shock and Ischemia

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Atrial Flutter

Cardiogenic Shock

Ischemia

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. Therefore this patient is either in some form of SVT or atrial flutter. Atrial flutter, when regular, must be conducting at 1:1, 2:1, 3:1, etc.

Ischemia

Ischemia Atrial Flutter Arrhythmia Tachycardia

A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

MAY 8, 2023

LAFB, atrial flutter, anterolateral STEMI(+) OMI. Impella (cardiac output augmentation device) placed for cardiogenic shock Unfortunately, the patient progressed to multiorgan failure with worsening cardiac output despite being maxed on pressors and a balloon pump. He expired 4 days later. No labs were performed.

Chest Pain

Chest Pain Myocardial Infarction STEMI Pacemaker

Cardiovascular Update

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

A man in his 70s with acute chest pain and paced rhythm.

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