Cardiac Function, Cardiogenic Shock and Chest Pain

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Cardiac Function

Cardiogenic Shock

Chest Pain

Acute chest pain, right bundle branch block, no STEMI criteria, and negative initial troponin.

Dr. Smith's ECG Blog

SEPTEMBER 12, 2024

Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of breath. Smith : LAD OMI with RBBB/LAFB is not only subtle on the ECG, but most of these patients are extremely ill: most I have seen are post-ROSC, in cardiogenic shock, or arrested shortly after.

Chest Pain

Chest Pain STEMI Cardiogenic Shock Heart Failure

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

Dr. Smith's ECG Blog

JULY 21, 2024

The patient in today’s case is a previously healthy 40-something male who contacted EMS due to acute onset crushing chest pain. The pain was 10/10 in intensity radiating bilaterally to the shoulders and also to the left arm and neck. Cardiac function is poor, with akinesis of the LAD territory.

Arrhythmia

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator

Cardiovascular Update

Acute chest pain, right bundle branch block, no STEMI criteria, and negative initial troponin.

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

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