Cardiogenic Shock, Coronary Angiogram and Stent

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Cardiogenic Shock

Coronary Angiogram

Stent

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Past medical history includes coronary stenting 17 years prior. If you take old people with a history of MI (he had a stent), that percentage goes far higher since there is scar tissue that acts as a nidus for the PVCs that initiate VT. Coronary angiogram shows diffuse severe three-vessel disease.

Tachycardia

Tachycardia Cardiogenic Shock Angina Coronary Angiogram

A man with chest pain off and on for two days, and "No STEMI" at triage.

Dr. Smith's ECG Blog

JUNE 19, 2023

The patient is started on epinephrine infusion for cardiogenic shock and cardiology took the patient to the cath lab. During angiogram in the cath lab, the patient suffered two episodes of ventricular fibrillation for which he was successfully defibrillated. Two stents were placed with resultant TIMI 3 flow.

Chest Pain

Chest Pain STEMI Cardiogenic Shock Ischemia

Cardiovascular Update

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

A man with chest pain off and on for two days, and "No STEMI" at triage.

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