Dr. Smith's ECG Blog

Instructive ECGs in Emergency Medicine Clinical Content

Associate Editors:
— Pendell Meyers & Ken Grauer (2018)
— Jesse McLaren & Emre Aslanger (2022)
— Willy Frick (2024)

editors

Patient with Heart Transplant has ventricular fibrillation arrest — resuscitated

 2635859

A middle-aged male

Immediate post-resuscitation.

We were aware that ST Elevation can be a result of the low flow state in cardiac arrest, and resolve with time, but we activated the cath lab.

The interventionalist stated that a transplanted heart does not have coronary disease.

A chart review however, revealed the the patient had had an acute distal LAD occlusion one month prior.

15 minutes later

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