Cardiogenic Shock Chest Pain Hospital 
Dr. Smith's ECG Blog
MAY 26, 2023
A 20-something presented after a huge verapamil overdose in cardiogenic shock. And she does not know that this is an overdose; she thinks it is a patient with chest pain!! Today's patient is a young male who presented in cardiogenic shock following a massive verapamil overdose. The initial K was 3.0
Dr. Smith's ECG Blog
OCTOBER 17, 2024
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Patient 1 : a 75 year old called paramedics with one day of left shoulder pain which migrated to the central chest, which was worse with deep breaths. The patient had a protracted hospitalization and did not survive.
Dr. Smith's ECG Blog
SEPTEMBER 5, 2024
She presented to an outside hospital after several days of malaise and feeling unwell. The VSR is what is causing the cardiogenic shock! Not all patients with acute ( or recent ) MI have chest pain with their event. At the time of admission, her vital signs were normal. Heart rate was in the 80s.
Dr. Smith's ECG Blog
OCTOBER 20, 2024
He woke up alert and with chest pain which he also had experienced intermittently over the previous few days. The history in today's case with sudden loss of consciousness followed by chest pain is very suggestive of ACS and type I ischemia as the cause of the ECG changes. What do you think? This is an ominous sign.
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. Some patients have baseline RBBB with LAFB, but in patients with likely ACS, these are associated with severe infarction with cardiac arrest, cardiogenic shock or impending shock.
Ken Grauer, MD
OCTOBER 25, 2024
The following are the KEY clinical and ECG features that establish the diagnosis of W ellens ' S yndrome : There should be a history of prior chest pain that has resolved at the time the defining ECG is obtained. The Chest Pain required for the definition of Wellens' Syndrome occurred at the time of coronary occlusion.
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. The patient was extubated on Day-3 of the hospital stay. The below ECG was recorded.
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