Journal of the American Heart Association

NOVEMBER 28, 2023

Mechanical circulatory support (MCS) devices increase systemic blood pressure and end organ perfusion while reducing cardiac filling pressures.Methods and ResultsThe National Cardiogenic Shock Initiative (NCT03677180) is a single‐arm, multicenter study. The primary end point was in‐hospital mortality. mm Hg, lactate to 2.7±2.8 mmol/L,

Cardiogenic Shock 40

Cardiogenic Shock Myocardial Infarction Blood Pressure Cardiac Arrest 40

Dr. Smith's ECG Blog

NOVEMBER 28, 2022

She was discharged after a short hospitalization with oncology and cardiology follow-up. Pericardial tamponade is also associated with pulsus paradoxus which is an abnormally large drop in systolic blood pressure greater than 10 mmHg during inspiration. A repeat POCUS showed resolution of her pericardial effusion.

Tachycardia 40

Tachycardia Pericarditis Ultrasound Blood Pressure 40

Dr. Smith's ECG Blog

OCTOBER 20, 2013

What is the utility of a head CT in cardiac arrest? We found intracranial hemorrhage in 2% of non-traumatic cardiac arrest patients, and in 4 others the presence of cerebral edema changed management. in Vienna found that 27 of 765 (4%) of out of hospital cardiac arrests (OHCA) were due to SAH.

Cardiac Arrest 52

Cardiac Arrest STEMI Hemorrhage Hospital 52

Dr. Smith's ECG Blog

JULY 24, 2018

Written by Pendell Meyers We received a call from an outside hospital asking to transfer a "traumatic post arrest" patient. One hour later (labs not yet returned), here is the ECG recorded just after the team noticed a sudden wide complex with precipitous decompensation, just before cardiac arrest: Bizarre, Brady, and Broad (wide QRS).

Cardiac Arrest 52

Cardiac Arrest Chest Pain Tachycardia ICU 52

Frontiers in Cardiovascular Medicine

OCTOBER 9, 2024

Final models were chosen to optimise area under the curve (AUC) score while ensuring interpretability.ResultsOverall, 128 (6.9%) patients died in hospital, with 292 (15.7%) patients requiring ICU admission and 373 (20.0%) patients with LVEF < 40%. for in-hospital mortality, 0.78 for ICU admission, and 0.74 for LVEF < 40%.

STEMI 52

STEMI Hospital ICU Outcomes 52

Dr. Smith's ECG Blog

OCTOBER 20, 2024

On arrival in the emergency department, invasive blood pressure was 35/15mmHg and the patient was in profound cardiogenic shock with severe confusion secondary to brain hypoperfusion. The arterial blood gas showed a lactic acidosis with a lactate level of 17mmol/L. PUSH THE LYTICS ! The below ECG (ECG #4) was recorded.

Cardiogenic Shock 127

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 127

Dr. Smith's ECG Blog

MAY 3, 2024

In fact, most do not make it to the hospital alive, which explains why only a tiny percent of OMI are due to full LM occlusion. The Queen of Hearts gets it right here: Register for access to Queen of Hearts here The interventionalist stated that he could not do the procedure while the patient has a blood pressure of 45 systolic.

Cardiogenic Shock 126

Cardiogenic Shock Cardiac Arrest Hospital Ischemia 126

Open Heart

SEPTEMBER 30, 2024

We aimed to describe the prehospital predictors of mortality in patients with non-traumatic shock transported to hospital by EMS. Reduced 30-day mortality was associated with administration of epinephrine (aHR=0.66, CI 0.62, 0.71) and systolic blood pressures above 80 mm Hg in the prehospital setting.

Cardiac Arrest 52

Cardiac Arrest Blood Pressure Outcomes Hospital 52

Dr. Smith's ECG Blog

JULY 21, 2024

Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in blood pressure. An Impella device was placed to maintain cardiac output and perfusion pressures. The patient was extubated on Day-3 of the hospital stay. Epinephrine infusion was begun.

Arrhythmia 130

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 130

DAIC

APRIL 8, 2024

Møller, MD , professor in the Department of Cardiology at the Odense University Hospital in Denmark, consultant at the cardiac intensive care unit of Copenhagen University Hospital Rigshospitalet and the study’s lead author. “I I think this will be a routine device that will be used in these desperately ill patients.”

Heart Attack 52

Heart Attack Heart attacks Cardiogenic Shock Catheterization Laboratory 52

DAIC

JANUARY 23, 2024

alone, more than 800,000 of these people are at risk of MI and for approximately 200,000 of them, this may well be their second life-threatening cardiac event. Nearly 20% of those people who have had a MI will be hospitalized again within five years due to a second event.5 4 In the U.S. 12 Importantly, colchicine, 0.5

Cardiovascular Disease 111

Cardiovascular Disease Heart Attack Heart attacks Coronary Artery Disease 111

Dr. Smith's ECG Blog

MAY 5, 2022

On arrival in the ED, he was hypotensive with a systolic blood pressure in the 70s. A few days later an ECG was repeated which showed normal sinus rhythm with no further hyperkalemia findings: After a 3-week hospitalization for acute renal failure, hyperkalemia, and compartment syndrome, the patient was discharged to acute rehab.

Chest Pain 52

Chest Pain Bradycardia Cardiac Arrest STEMI 52

Frontiers in Cardiovascular Medicine

JANUARY 8, 2025

AimThis study aimed to protect brain functions in patients who experienced in-hospital cardiac arrest through the application of local cerebral hypothermia. Hemodynamic improvements included elevated systolic blood pressure and heart rate, while left ventricular ejection fraction remained stable.

Cardiac Arrest 52

Cardiac Arrest Myocardial Infarction Blood Pressure Hospital 52

Dr. Smith's ECG Blog

FEBRUARY 18, 2025

He had worked overnight the night before and presented to the hospital after his shift. His first recorded blood pressure was 88/53 mm Hg. Forty five minutes later, his blood pressure increased to 157/125 mm Hg, but his heart rate was now in the 30s. Here is his presenting ECG: What do you think?

Blood Pressure 62

Blood Pressure Blog Cardiac Arrest Bradycardia 62

Dr. Smith's ECG Blog

APRIL 18, 2025

Orthostatic blood pressures were recorded and confirmed orthostatic hypotension. If the ventricular escape rhythm also gives out, the patient has cardiac arrest. He suffered another cardiac arrest in the ICU with ROSC after another dose of epinephrine and one round of CPR.

Chest Pain 80

Chest Pain Cardiac Arrest Tachycardia ICU 80