Journal of the American Heart Association

DECEMBER 20, 2024

BackgroundCardiogenic shock complicating acute myocardial infarction is associated with a high mortality rate. Cardiogenic shock after outofhospital cardiac arrest (OHCA) can be due to transient myocardial stunning but also reflect the increasing severity of ongoing heart failure.

Cardiac Arrest 45

Cardiac Arrest Cardiogenic Shock Hospital Myocardial Infarction 45

DAIC

FEBRUARY 29, 2024

ET Murphy Ballroom 4 Comparison of an "Inclisiran First" Strategy with Usual Care in Patients With Atherosclerotic Cardiovascular Disease: Results From the VICTORION-INITIATE Randomized Trial Targeting Weight Loss to Personalize the Prevention of Type 2 Diabetes Once-weekly Semaglutide in Patients with Heart Failure With Preserved Ejection Fraction, (..)

Aortic valve 103

Aortic valve Myocardial Infarction Aortic Blood Pressure 103

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

The initial blood pressure was 80/palp with a heart rate of 104, respirations 20, oxygen saturations of 94% and a finger stick blood glucose of 268. In addition, the patient received 750 mL of fluid resuscitation with transient improvement of blood pressure. If you can use Doppler, then you can diagnose it.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Ken Grauer, MD

AUGUST 16, 2024

MY Thoughts on this CASE: Not being there — I am unaware of physical exam parameters ( blood pressure, respiratory rate; oxygen saturation; heart and lung auscultation, etc. ). PEARL # 2: In the absence of associated heart failure ( cardiogenic shock ) — sinus tachycardia is not a common finding in acute MI.

Blog 155

Blog Tachycardia Cardiogenic Shock Pulmonary 155

The Beat Blog

APRIL 8, 2022

I looked down at the reason for the visit: “blood pressure check.” As physicians, we know the value of placing a hand on someone’s calf, detecting a subtle drop in body temperature, and knowing that they have decompensated into a low output cardiogenic shock. That was seven years ago.

Cardiogenic Shock 52

Cardiogenic Shock Blood Pressure Heart Attack Heart attacks 52

Dr. Smith's ECG Blog

MAY 30, 2023

This confirms inferior, posterior, lateral, and RV MI RV MI often leads to shock and (systolic) hypotension. Because the RV pressure is normally low (unlike the LV), it is perfused by systolic blood pressure in addition to diastolic, so hypotension is very bad for the RV.

Chest Pain 97

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock 97

Dr. Smith's ECG Blog

AUGUST 13, 2020

Because of the tachcardia, I would expect her to be very poor left ventricular function and maybe Cardiogenic shock. Still Irregular Blood pressure during these rhythms was adequate; there was no shock. Alternatively , it is someone who has an old myocardial infarction and is now very sick with something else.

Tachycardia 52

Tachycardia AFIB Cardiogenic Shock Myocardial Infarction 52

Dr. Smith's ECG Blog

APRIL 24, 2020

Just prior to transport, the patient became confused and agitated and, although blood pressure and pulse were OK, I was worried about cardiogenic shock. Had there been zero STE in V9, but persistent STD in V3, I would have called V9 a false negative! Diagnosis : Posterior MI, right? We intubated him.

Ischemia 52

Ischemia Chest Pain Stenosis STEMI 52

Dr. Smith's ECG Blog

MARCH 12, 2018

When there is tachycardia, the patient is in cardiogenic shock with very poor LV function on bedside echo. We hope you can see the difference: See these cases for more examples: Syncope, Shock, AV block, Large RV, "Anterior" ST Elevation. In this case we have a crashing patient while T-wave inversion is ongoing!

Chest Pain 40

Chest Pain Pulmonary Embolism Tachycardia 40

All About Cardiovascular System and Disorders

APRIL 9, 2024

When the heart is not able to pump enough blood for the needs of the body and the blood pressure falls, it is known as cardiogenic shock. Most important cause of cardiogenic shock is a heart attack. Cardiogenic shock is a potentially life threatening condition and needs urgent treatment.

Cardiogenic Shock 52

Cardiogenic Shock Blood Pressure Heart Attack Heart attacks 52

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 arterial blood gas showed a lactic acidosis with a lactate level of 17mmol/L. This is an ominous sign.

Cardiogenic Shock 127

Cardiogenic Shock Ischemia Chest Pain Cardiac Arrest 127

Dr. Smith's ECG Blog

MAY 3, 2024

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. Today's unfortunate case details a patient with acute LMain occlusion, that led to cardiogenic shock before her demise.

Cardiogenic Shock 126

Cardiogenic Shock Cardiac Arrest Hospital Ischemia 126

DAIC

APRIL 8, 2024

milla1cf Mon, 04/08/2024 - 18:07 April 8, 2024 — Implantation of the Impella CP micro-axial flow pump in the hours after a heart attack significantly increased the rate of survival at six months among people suffering cardiogenic shock, according to a study presented at the American College of Cardiology ’s Annual Scientific Session.

Heart Attack 52

Heart Attack Heart attacks Cardiogenic Shock Catheterization Laboratory 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. You can see Left Main and Proximal LAD obstruction, but with some flow, which is saving this patient's life.

Arrhythmia 130

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 130

Dr. Smith's ECG Blog

OCTOBER 7, 2019

Why is the patient in shock? He was in profound cardiogenic shock. During transport, I had debated giving atropine for his bradycardia and cardiogenic shock, but was worried about making an already profoundly ischemic heart more ischemic, and chose instead to optimize preload with pressure bagging 1L NS.

Bradycardia 40

Bradycardia STEMI Cardiogenic Shock Ischemia 40

Wellnest

JULY 19, 2023

However, recent studies have observed that people below 40 are also experiencing heart attacks due to high blood pressure, cholesterol, diabetes, smoking, obesity, a sedentary lifestyle, and social and mental stress. Keep an eye on blood pressure. Too much alcohol might lead to a rise in your blood pressure.

Heart Attack 52

Heart Attack Heart attacks Blood Pressure Myocardial Infarction 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The Society (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Dr. Smith's ECG Blog

APRIL 6, 2025

They were unable to obtain a blood pressure. His heart rate was in the low 20s and we were also unable to obtain a blood pressure. He was given 50 mcg epinephrine with good response in both heart rate and blood pressure. Assessment : Cardiology thought this was cardiogenic shock from RV dysfunction.

Blood Pressure 110

Blood Pressure Cardiogenic Shock Ischemia Cardiac Arrest 110

Dr. Smith's ECG Blog

MARCH 3, 2025

Her blood pressure on arrival was 153/69. Whenever there is tachycardia, I am skeptical of OMI unless it has led to severely compromised ejection fracction with cardiogenic shock. increasing stenosis, ischemia, volume changes, increased blood pressure, atrial fibrillation, etc.)

Tachycardia 73

Tachycardia Pulmonary Chest Pain Stenosis 73