Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

If you don't know what the dysrhythmia is, then try procainamide. Pads were placed with ultrasound guidance, so they were in the correct position. What to do now? If you believe it is SVT, then try adenosine. Procainamide is proven better and safer than amiodarone for VT ( Procamio randomized trial ) AND it also works for SVT.

Tachycardia 139

Tachycardia Cardiogenic Shock Angina Coronary Angiogram 139

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. This patient’s severe aortic stenosis (AS) and associated severe cardiogenic shock likely created the ECG pattern, resulting in a very difficult challenge for our inpatient team. If you can use Doppler, then you can diagnose it. Circulation.

Ischemia 40

Ischemia Cardiogenic Shock Aortic Stenosis 40

Dr. Smith's ECG Blog

APRIL 6, 2025

Assessment : Cardiology thought this was cardiogenic shock from RV dysfunction. Smith Comment: the RV was very ischemic on the CT scan and dysfunctional on echo, and this does explain the shock. Probable anterior and anterolateral wall hypokinesis. Right ventricular enlargement. Decreased right ventricular systolic performance.

Blood Pressure 93

Blood Pressure Cardiogenic Shock Ischemia Cardiac Arrest 93