Open Heart

JANUARY 19, 2025

Background Cardiogenic shock (CS) induced by severe aortic stenosis (AS) is a life-threatening condition with high mortality. Despite advancements in emergency interventions, the optimal treatment approach remains uncertain. The primary endpoint was mortality at 30 days. Results Seventeen studies were included, totalling 2811 patients.

Cardiogenic Shock 52

Cardiogenic Shock Aortic Stenosis Aortic valve 52

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 worked as a full code, and ROSC was achieved. 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.

Cardiac Arrest 123

Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 123

Dr. Smith's ECG Blog

OCTOBER 28, 2022

He has a pacemaker for an unknown arrhythmia reason, and has a hx of a PE but is not anti-coagulated currently. He went into cardiogenic shock and is intubated in the cardiac ICU. Modified-Smith-Sgarbossa Criteria provide objective criteria for assessing patients with LBBB and/or pacemaker tracings for acute coronary disease.

Chest Pain 52

Chest Pain Myocardial Infarction Pacemaker Cardiogenic Shock 52

CardiacWire

FEBRUARY 7, 2025

Beyond in-hospital mortality, weekend patients faced a 3.27x higher risk of death following the procedures.

TAVR 59

TAVR Cardiogenic Shock Hospital Cardiac Arrest 59

Dr. Smith's ECG Blog

JULY 21, 2024

The patient in today’s case presented in cardiogenic shock from proximal LAD occlusion, in conjunction with a subtotally stenosed LMCA. If there had been — a temporary atrial pacemaker could have been considered as a way of increasing the heart rate to suppress a bradycardia-dependent arrhythmia ("overdrive pacing").

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Dr. Smith's ECG Blog

MAY 8, 2023

Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. It is true that assessment of pacemaker tracings for acute ST-T wave changes can be challenging. Sent by Pete McKenna M.D.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52

DAIC

MARCH 25, 2024

Rapid Fire Challenging Structural Heart Imaging Cases with Heart Team Panel; Follow-up of Pacemakers and ICDS for the Non-electrophysiologist; The Real Reasons Your Patient with Heart Failure was Readmitted: Noncardiac Comorbidities, Geriatric Syndromes and Social Determinants of Health; and Death by a Thousand Cuts!

Education 59

Education Cardiogenic Shock Heart Failure Plaque 59