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In the chain of survival, prompt diagnosis and definitive surgery form the cardinal links. Prolonged medical management is not a feasible option as it is likely to be futile but the aim should be to reduce afterload with the help of intra\u2010aortic balloon pump or support with ventricular assist devices. Echocardiography sits at the heart of the diagnosis of this time critical condition and will guide accurate therapy and intervention. We present the first reported case from an Australian emergency department, where the echocardiography done by the emergency physician clinched the diagnosis. We emphasise here the paramountcy of emergency physicians being proficient in basic echocardiography to achieve rapid diagnosis. Once diagnosed it is critical to have an individual case\u2010tailored multi\u2010disciplinary discussion between emergency medicine, cardiothoracic surgery, cardiology and intensive care as to plan the optimal timing of surgery.<\/jats:p>","DOI":"10.1002\/ajum.12123","type":"journal-article","created":{"date-parts":[[2019,1,11]],"date-time":"2019-01-11T16:02:57Z","timestamp":1547222577000},"page":"66-71","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Heartbreak: A case of post\u2010infarction cardiogenic shock"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9629-9515","authenticated-orcid":false,"given":"Ashes","family":"Mukherjee","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Armadale Hospital Armadale Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Fong","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Armadale Hospital Armadale Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,1,11]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_8_2_1","DOI":"10.1515\/jccm-2015-0030"},{"doi-asserted-by":"publisher","key":"e_1_2_8_3_1","DOI":"10.1016\/j.athoracsur.2003.09.114"},{"key":"e_1_2_8_4_1","first-page":"168","volume-title":"Lectures on subjects connected with clinical medicine, comprising diseases of the heart","author":"Latham PM","year":"1845"},{"key":"e_1_2_8_5_1","first-page":"930","article-title":"Surgical repair of ruptured interventricular septum following acute myocardial infarction","volume":"41","author":"Cooley DA","year":"1957","journal-title":"Surgery"},{"doi-asserted-by":"publisher","key":"e_1_2_8_6_1","DOI":"10.1001\/jama.1963.63700070040020d"},{"doi-asserted-by":"publisher","key":"e_1_2_8_7_1","DOI":"10.1016\/j.athoracsur.2012.04.020"},{"issue":"4","key":"e_1_2_8_8_1","first-page":"e362","article-title":"2013 ACCF\/AHA guideline for the management of ST\u2010elevation myocardial infarction: a report of the American College of Cardiology Foundation\/American Heart Association Task Force on Practice Guidelines","volume":"127","author":"O'Gara PT","year":"2013","journal-title":"Circulation"},{"key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"103","DOI":"10.15829\/1560-4071-2018-5-103-158","article-title":"The task force for the management of acute myocardial\u00a0infarction in patients presenting with ST\u2010segment elevation of the European Society of Cardiology (ESC) 2017 ESC guidelines for\u00a0the management of acute myocardial infarction in patients presenting with ST\u2010segment elevation","volume":"5","author":"Esc S","year":"2018","journal-title":"Russ J Cardiol"},{"doi-asserted-by":"publisher","key":"e_1_2_8_10_1","DOI":"10.1177\/8756479316687992"},{"doi-asserted-by":"publisher","key":"e_1_2_8_11_1","DOI":"10.1016\/j.amjmed.2016.12.004"},{"doi-asserted-by":"publisher","key":"e_1_2_8_12_1","DOI":"10.1007\/s11748-015-0620-1"},{"doi-asserted-by":"publisher","key":"e_1_2_8_13_1","DOI":"10.1016\/j.hlc.2016.02.024"},{"doi-asserted-by":"publisher","key":"e_1_2_8_14_1","DOI":"10.4244\/EIJV12SXA4"}],"container-title":["Australasian Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fajum.12123","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajum.12123","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T22:26:16Z","timestamp":1694643976000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajum.12123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1,11]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1002\/ajum.12123"],"URL":"https:\/\/doi.org\/10.1002\/ajum.12123","archive":["Portico"],"relation":{},"ISSN":["1836-6864","2205-0140"],"issn-type":[{"type":"print","value":"1836-6864"},{"type":"electronic","value":"2205-0140"}],"subject":[],"published":{"date-parts":[[2019,1,11]]},"assertion":[{"value":"2019-01-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}