modified sgarbossa criteriaNew LBBBRate-related bundle branch block6 Min Read Jesse McLarenonMay 25, 2026 65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion? by Jesse McLaren A 65 year old with a history of COPD, coronary artery disease, reflux and cocaine use presented with chest tightness and…
NSTEMI is worthlessOcclusion MI/Non-Occlusion MI (OMI/NOMI) paradigmOMI in cardiac arrestSTEMI or NSTEMI DiagnosisSTEMI/NonSTEMI paradigm9 Min Read Willy FrickonMay 22, 2026 STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis. A man in his mid 50s was playing soccer and collapsed. Bystanders initiated CPR and delivered 3 AED-advised shocks. The patient was intubated…
2 Min Read Steve SmithonMay 27, 2015 Chest pain and Very Large T-waves A middle aged male had chest pain. There was suspicion of acute MI. The initial ECG was texted to me: The QTc is 423 ms. There is…
1 Min Read Steve SmithonJune 1, 2015 A Young African American Woman with Chest Pain and Precordial T-wave Inversions. An African American woman in her late 20’s presented with sudden onset of dull/aching left chest pain, with associated SOB and dyspnea…
6 Min Read Steve SmithonJune 3, 2015 Wide Complex Tachycardia Refractory to Anti-dysrhythmics and Cardioversion. This was contributed by Rebecca Kornas, MD, one of our EM Residents. Edited and commented upon by Smith. A middle-aged male with a…