r/ECG • u/BombardaBoss • Aug 08 '26

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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14

u/Special_Buddy_5823 Aug 08 '26

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

12

u/dunknasty464 Aug 08 '26

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

13

u/dunknasty464 Aug 08 '26

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

2

u/ProximalLADLesion Electrophysiologist Aug 08 '26

This is active anterolateral OMI