Cardiogenic Shock, Coronary Artery Bypass Graft and Ischemia

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Cardiogenic Shock

Coronary Artery Bypass Graft

Ischemia

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

DISCUSSION: The 12-lead EKG EMS initially obtained for this patient showed severe ischemia, with profound "infero-lateral" ST depression and reciprocal ST elevation in lead aVR. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58).

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

Dr. Smith's ECG Blog

MARCH 3, 2025

Whenever there is tachycardia, I am skeptical of OMI unless it has led to severely compromised ejection fracction with cardiogenic shock. The patient was started on heparin for possible NSTEMI vs demand ischemia. increasing stenosis, ischemia, volume changes, increased blood pressure, atrial fibrillation, etc.)

Tachycardia

Tachycardia Pulmonary Chest Pain Stenosis

Cardiovascular Update

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Pulmonary edema, with tachycardia and OMI on the ECG -- what is going on?

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