Bradycardia, Cardiac Function and Myocardial Infarction

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Bradycardia

Cardiac Function

Myocardial Infarction

Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Electrocardiographic Criteria to Differentiate Acute Anterior ST Elevation Myocardial Infarction from Left Ventricular Aneurysm. Acute MI per se usually does not depress cardiac function and blood pressure enough to cause syncope ( Mostafa et al — J Com Hosp Intern Med Perspect 13(4):9-12, 2023 - ).

Chest Pain

Chest Pain Aneurysm Stents Stent

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

Dr. Smith's ECG Blog

JULY 21, 2024

Troponin T peaked at 38,398 ng/L ( = a very large myocardial infarction, but not massive-- thanks to the pre-PCI spontaneous reperfusion, and rapid internvention!! ). Cardiac function is poor, with akinesis of the LAD territory. Some residual ischemia in the infarct border might still be present.

Arrhythmia

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator

Cardiovascular Update

Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

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

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