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A 60-something woman presented after a witnessed cardiacarrest. This is commonly found after epinephrine for cardiacarrest, but could have been pre-existing and a possible contributing factor to cardiacarrest. Final Diagnosis: CardiacArrest due to Torsades from long QT of unknown etiology.
I suspect this is Type 2 MI due to prolonged severe hypotension from cardiacarrest. If the arrest was caused by acute MI due to plaque rupture, then the diagnosis is MINOCA. If the arrest had another etiology (such as old scar), and the ST elevation is due to severe shock, then it is a type II STEMI.
It is apparently fortunate that she had a cardiacarrest; otherwise, her ECG would have been ignored. Hospital Course The patient was taken emergently to the cath lab which did not reveal any significant coronaryarterydisease, but she was noted to have reduced EF consistent with Takotsubo cardiomyopathy.
Diffuse ST depression with ST elevation in aVR: Is this pattern specific for global ischemia due to left main coronaryarterydisease? Incidence of an acute coronary occlusion. Diffuse ST depression with ST elevation in aVR: Is this pattern specific for global ischemia due to left main coronaryarterydisease?
When discussing heart health, heart attacks and cardiacarrest are two terms that are often mistaken for one another. Understanding the difference between heart attack and cardiacarrest can help in recognizing symptoms, seeking prompt medical care, and even saving lives. What is CardiacArrest?
A family history of heart disease often indicates that genetic factors might be at play. Common Heart Diseases with Genetic Links CoronaryArteryDisease (CAD): CAD occurs when the arteries supplying blood to the heart become narrowed or blocked.
Heart Valve Disease If one or more heart valves are not functioning correctly, it can cause blood to flow backward, putting extra pressure on the heart, which may cause it to expand to compensate for the inefficiency. This may result in ischemia (lack of oxygen to the heart muscle), causing parts of the heart to weaken and enlarge.
Atherosclerotic cardiovascular disease (ASCVD), caused by plaque buildup in arterial walls, is one of the leading causes of disability and death worldwide.1,2 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.
The ST segment changes are compatible with severe subendocardial ischemia which can be caused by type I MI from ACS or potentially from type II MI (non-obstructive coronaryarterydisease with supply/demand mismatch). The arterial blood gas showed a lactic acidosis with a lactate level of 17mmol/L.
CardiacarrestCardiacarrest is a medical emergency in which the heart stops pumping blood to the body. Electrocardiogram, echocardiogram, and some other tests are done for patients with cardiacarrest. ECG machine can also help diagnose coronaryarterydisease.
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