Remove Cardiogenic Shock Remove ICU Remove Obesity
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Abstract 4143844: Multidisciplinary management of a pregnant patient with advanced systolic heart failure

Circulation

A 35-year-old gravida 1, para 0 with biventricular heart failure (LVEF 25%), nonischemic cardiomyopathy, history stroke, history of left ventricular thrombus, class III obesity, and chronic kidney disease who had been followed by Cardio-Obstetrics throughout her pregnancy presented at 34 weeks gestation for planned induction of labor.

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A crashing patient with an abnormal ECG that you must recognize

Dr. Smith's ECG Blog

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.