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.

STEMI 52

STEMI Cardiogenic Shock Tachycardia Aneurysm 52

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 67

Chest Pain Blog Critical Care Arrhythmia 67

Dr. Smith's ECG Blog

OCTOBER 7, 2019

Why is the patient in shock? He was in profound cardiogenic shock. They did not have an ultrasound on the ambulance (some local crews are starting to utilize POC limited US in our service areas). The patient arrived at the Emergency Dept critical care area and had this ECG recorded: The sinus bradycardia persists.

Bradycardia 52

Bradycardia Cardiogenic Shock STEMI Ischemia 52