Cardiogenic Shock, Critical Care and Echocardiogram

Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Dr. Smith's ECG Blog

OCTOBER 26, 2010

He was rushed by residents into our critical care room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6. ACS and STEMI generally do not cause tachycardia unless there is cardiogenic shock. He had this ECG recorded. The HCO3 was 8.

STEMI

STEMI Cardiogenic Shock Tachycardia Aneurysm

Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

JANUARY 15, 2024

Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong interest in the role of ECG in critical care and OMI. Tachycardia is unusual for OMI, unless the patient is in cardiogenic shock (or getting close). Written by Colin Jenkins. Edits by Willy Frick.

Chest Pain

Chest Pain Blog Arrhythmia Critical Care

Cardiovascular Update

Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context

Noisy, low amplitude ECG in a patient with chest pain

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