Cardiogenic Shock, Myocardial Infarction and Pulmonary

How cardiogenic shock in NSTEMI is different from STEMI?

Dr. S. Venkatesan MD

DECEMBER 29, 2023

Cardiogenic shock (CS)is the most feared event following STEMI. A subset of NSTEMI precipitated by acute severe HT and flash pulmonary edema has excellent prognosis if BP is reduced promptly. Non-STEMI vs. STEMI Cardiogenic Shock: Clinical Profile and Long-Term Outcomes. Global ST depression (AVR.V1 Reference 1.Martínez

Cardiogenic Shock

Cardiogenic Shock STEMI Myocardial Infarction Document

Protocol‐Driven Best Practices and Cardiogenic Shock Survival in Asian Patients

Journal of the American Heart Association

FEBRUARY 26, 2025

male, 67% acute myocardial infarction, 33% acute decompensated heart failure), 45 (41.3%), 33 (30.3%), and 31 (28.4%) were in SCAI Shock Stages C, D, and E, respectively. A suggestive trend of improving 30day survival was observed (56.8%, 63.9%, and 72.2%

Cardiogenic Shock

Cardiogenic Shock Best Practices Myocardial Infarction Pulmonary

Hemodynamic Characteristics and Prognostic Implication of Modified Society for Cardiovascular Angiography and Interventions Shock Classification in Comatose Patients With Out‐of‐Hospital Cardiac Arrest

Journal of the American Heart Association

DECEMBER 20, 2024

BackgroundCardiogenic shock complicating acute myocardial infarction is associated with a high mortality rate. Cardiogenic shock after outofhospital cardiac arrest (OHCA) can be due to transient myocardial stunning but also reflect the increasing severity of ongoing heart failure. as SCAI class D, and 38.5%

Cardiac Arrest

Cardiac Arrest Cardiogenic Shock Hospital Myocardial Infarction

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Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

The patient was transported to the CCU for further medical optimization where a pulmonary artery catheter was placed. Authors' commentary: Cardiogenic shock in the setting of severe aortic stenosis. Fundamentally, cardiogenic shock is an issue of decreased cardiac output.

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Chest Pain and Inferior ST Elevation.

Dr. Smith's ECG Blog

JUNE 17, 2018

I have always said that tachycardia should argue against acute MI unless there is cardiogenic shock or 2 simultaneous pathologies. The goal of the present analysis was to examine whether the presence of tachycardia identified patients unlikely to have type 1 myocardial infarction. Clin Cardiol 22:334-344, 1999 ).

Chest Pain

Chest Pain Pericarditis Tachycardia Myocardial Infarction

Transfer to Hub Hospitals and Outcomes in Cardiogenic Shock

Circulation: Heart Failure

MARCH 5, 2025

BACKGROUND:There are limited large-scale data on the outcomes of patients with cardiogenic shock (CS) transferred to hub centers. During the hospitalization, they had higher rates of renal failure, pulmonary artery catheter use, and mechanical circulatory support use. Circulation: Heart Failure, Ahead of Print.

Cardiogenic Shock

Cardiogenic Shock Hospital Outcomes Myocardial Infarction

Extreme shock and cardiac arrest in COVID patient

Dr. Smith's ECG Blog

NOVEMBER 12, 2020

Assessment was severe sudden cardiogenic shock. and the patient was converted to veno-venous (V-V) ECMO due to persistent pulmonary insufficiency. In normal times, the most common use of cTni is in diagnosing, or ruling out, acute myocardial infarction (AMI, a subcategory of acute myocardial injury.

Cardiac Arrest

Cardiac Arrest COVID-19 Myocardial Infarction Cardiogenic Shock

Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

Dr. Smith's ECG Blog

JULY 18, 2014

ng/ml and was falling, confirming infarction days ago. Case Continued 2 days later the patient became increasingly tachycardic, hypotensive, ashen, clammy (in cardiogenic shock) and had a new murmur. The initial troponin I was 23.7 This was the 12-lead ECG. No resolution of ST elevation. The T-waves are persistently positive.

STEMI

STEMI Pericarditis Myocardial Infarction Cardiogenic Shock

How does Acute Total Left Main Coronary occlusion present on the ECG?

Dr. Smith's ECG Blog

AUGUST 9, 2019

At the bottom of the post, I have re-printed the section on aVR in my article on the ECG in ACS from the Canadian Journal of Cardiology: New Insights Into the Use of the 12-Lead Electrocardiogram for Diagnosing Acute Myocardial Infarction in the Emergency Department Case 1. and I sent him the above ST vector explanation.

Myocardial Infarction

Myocardial Infarction Ischemia STEMI Cardiogenic Shock

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Published Research kschukar Thu, 04/20/2023 - 11:12 Recently published (2016 – present) manuscripts utilizing STS data: Adult Cardiac Surgery, General Thoracic Surgery, Congenital Heart Surgery, and Intermacs/Pedimacs.

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

Published Research

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)

Research

Research Coronary Artery Bypass Graft Aortic valve Congenital

The First 60 Minutes of a Heart Attack: The Golden Hour

Wellnest

JULY 19, 2023

When one of these arteries becomes completely blocked by a blood clot, it results in a heart attack, also known as MI (Myocardial infarction). When a person experiences a heart attack or myocardial infarction, they may feel chest pain and other symptoms in different parts of their body.

Heart Attack

Heart Attack Heart attacks Blood Pressure Myocardial Infarction

Differences in treatment and clinical outcomes in patients aged >=75 years compared with those aged <=74 years following acute coronary syndromes: a prospective multicentre study

Open Heart

DECEMBER 26, 2023

Methods A large-scale cohort study of patients with ST-elevation/non-ST-elevation myocardial infarction (MI)/unstable angina underwent coronary angiography (January 2015–December 2019). Patients were classified as older (≥75 years) and younger (≤74 years).

Cardiogenic Shock

Cardiogenic Shock Myocardial Infarction Outcomes Angina

Higher vasoactive usage despite hemodynamic goals is associated with higher mortality in acute myocardial infarction-related cardiogenic shock

Frontiers in Cardiovascular Medicine

FEBRUARY 12, 2025

BackgroundCardiogenic shock (CS) is a severe complication of acute myocardial infarction (AMI) with high mortality. had ST-segment elevation myocardial infarction. Few studies have examined the selection and subsequent choice of vasoactive agents in CS. The median age was 61 years; most were men (82%), and 82.8%

Myocardial Infarction

Myocardial Infarction Cardiogenic Shock Hospital Pulmonary

Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

Dr. Smith's ECG Blog

APRIL 9, 2025

Chest X-ray also showed pulmonary edema. 1) as far as I can tell, there is very little data on amiodarone for this indication 2) amiodarone has beta blockade effects which could be deleterious in a patient with large anterior MI with pulmonary edema and at risk for cardiogenic shock (and she did go into shock.

Defibrillator

Defibrillator Cardiac Arrest Myocardial Infarction STEMI

Cardiovascular Update

How cardiogenic shock in NSTEMI is different from STEMI?

Protocol‐Driven Best Practices and Cardiogenic Shock Survival in Asian Patients

Hemodynamic Characteristics and Prognostic Implication of Modified Society for Cardiovascular Angiography and Interventions Shock Classification in Comatose Patients With Out‐of‐Hospital Cardiac Arrest

Webinars

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Chest Pain and Inferior ST Elevation.

Transfer to Hub Hospitals and Outcomes in Cardiogenic Shock

Extreme shock and cardiac arrest in COVID patient

Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves

How does Acute Total Left Main Coronary occlusion present on the ECG?

Published Research

Published Research

The First 60 Minutes of a Heart Attack: The Golden Hour

Differences in treatment and clinical outcomes in patients aged >=75 years compared with those aged <=74 years following acute coronary syndromes: a prospective multicentre study

Higher vasoactive usage despite hemodynamic goals is associated with higher mortality in acute myocardial infarction-related cardiogenic shock

Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

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