Dr. Smith's ECG Blog

MAY 26, 2023

A 20-something presented after a huge verapamil overdose in cardiogenic shock. He was admitted to the ICU and was unstable, in shock, overnight. Today's patient is a young male who presented in cardiogenic shock following a massive verapamil overdose. The initial K was 3.0 mEq/L and ionized calcium was 5.5

Cardiogenic Shock 91

Cardiogenic Shock Arrhythmia Blog Education 91

Frontiers in Cardiovascular Medicine

OCTOBER 13, 2024

BackgroundIn the ICU, patients with acute myocardial infarction and cardiogenic shock (AMI-CS) often face high mortality rates, making timely and precise mortality risk prediction crucial for clinical decision-making. We included ICU patients diagnosed with AMI-CS.

Cardiogenic Shock 52

Cardiogenic Shock Myocardial Infarction ICU 52

Circulation

NOVEMBER 11, 2024

Home medications including isosorbide dinitrate, metoprolol, and hydralazine were continued. After discharge, she was scheduled for a 2-week postpartum visit including echocardiogram, EKG, and NT-proBNP.Discussion:Given the patient's acute decompensation and fluid overload, medical optimization was essential prior to delivery.

Heart Failure 40

Heart Failure Cardiogenic Shock ICU Cardiothoracic 40

Dr. Smith's ECG Blog

OCTOBER 8, 2024

A temporary pacemaker was implanted, and she was admitted to the ICU with cardiogenic shock. She was taken to the cath lab, where she was found to have 100% in-stent restenosis of the proximal LAD. Later the next day, she went into cardiac arrest again. She could not be resuscitated.

Cardiac Arrest 116

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 116

Dr. Smith's ECG Blog

OCTOBER 28, 2022

He went into cardiogenic shock and is intubated in the cardiac ICU. Cortland : Thank you so much for your reply! I just got the follow up that he had a near complete very proximal LAD occlusion , and a complete PDA occlusion. Not the culprit artery I was expecting but potentially a wraparound LAD?

Chest Pain 52

Chest Pain Myocardial Infarction Pacemaker Cardiogenic Shock 52

Dr. Smith's ECG Blog

MARCH 12, 2018

When there is tachycardia, the patient is in cardiogenic shock with very poor LV function on bedside echo. We hope you can see the difference: See these cases for more examples: Syncope, Shock, AV block, Large RV, "Anterior" ST Elevation. She had an uneventful ICU course and improved steadily over the course of a week.

Chest Pain 40

Chest Pain Pulmonary Embolism Tachycardia 40

Frontiers in Cardiovascular Medicine

DECEMBER 20, 2024

Postcardiotomy cardiogenic shock (PCS) is a severe complication following ATAAD repair that complicates postoperative recovery. vs. 24.3%, p<0.001) and prolonged ICU stays (14.5 The ECMO group exhibited significantly higher mortality rates (57.9% days vs. 7.6 days, p=0.009). for the ECMO group vs. 92.8%

Cardiogenic Shock 52

Cardiogenic Shock Aortic Outcomes Quality of Life 52