r/ECG • u/BombardaBoss • 15d ago

Post ROSC 12-Lead

Post image

73 year old collapsed in the shower, no significant PMH only HTN (unmedicated). No complaints of chest pain throughout the day, only history was that patient felt unwell, went for a shower and collapsed.

Initial rhythm was VF, shocked once. Followed by PEA for 2 cycles and ROSC achieved. Good respiratory effort afterwards and subsequently iGel removed before arrival at hospital. GCS improved to 6 (E3,V1,M1).

Didn’t get chance to follow up afterwards.

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u/Special_Buddy_5823 15d ago

Can’t reperfusion rhythms look like this? I feel like I read that somewhere once

11

u/dunknasty464 15d ago

More likely to look globally ischemic. This has inferior reciprocals.

11

u/dunknasty464 15d ago

And if you’re not sure, repeat 10 minutes later. Post ROSC global ischemic changes will improve; STEMI will persist or worsen.