lead misplacement8 Min Read Hans HelsethonMay 29, 2026 The Right Decision for the Wrong Reason? An 85-year-old man with a history of MI with stents woke up feeling unwell. He reported that the original sensation was difficult to describe,…
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…
bradycardiaECG misdiagnosisECG Radiologisthyperacute T-wavesinferiorinferior hyperacute T-wavesOMI4 Min Read Pendell MeyersonNovember 19, 2021 A woman in her 60s with syncope and vomiting. Does she need a pacemaker? Written by Pendell Meyers with some edits by Steve Smith A woman in her 60s on chemotherapy presented to the Emergency Department for a…
aVRcardiac arrestLAD occlusionleft mainshark fin5 Min Read Pendell MeyersonNovember 22, 2021 Shark fin post arrest: do you understand the ECG? Case submitted by Dr. Daryl Williams, written by Pendell Meyers, peer reviewed by Smith and Bracey A physician bystander witnessed a…
posterior leadsposterior OMIST Depression downslopingSTDmaxV1-44 Min Read Steve SmithonNovember 25, 2021 Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping A middle aged male presented after onset, approximately 50 minutes prior, of constant crushing 10/10 substernal chest pain, radiating into…