Cardiogenic Shock Critical Care Ischemia 
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.
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Dr. Smith's ECG Blog
OCTOBER 7, 2019
Why is the patient in shock? He was in profound cardiogenic shock. RCA ischemia often results in sinus bradycardia from vagal reflex or ischemia of the sinus node. The patient arrived at the Emergency Dept critical care area and had this ECG recorded: The sinus bradycardia persists.
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