cardiac arrest due to missed OMIPrecordial swirlProximal LADRBBB and LAFBsouth african flag signsubendocardial ischemia9 Min Read Pendell MeyersonJuly 13, 2026 A man in his 50s with acute chest pain. See what happens when it is “Not a STEMI” Written by Pendell Meyers, comments of course by Smith. Sent by anonymous A man in his 50s was walking his dog early in the morning when he…
Arrhythmogenic Right ventricular dysplasiaArrhythmogenic RV cardiomyopathyVentricular Fibrillation8 Min Read Steve SmithonJuly 10, 2026 Ventricular Fibrillation in a young patient during exertion This was sent by Jack Cahill, a medical student in Britain who is a young ECG savant (like Hans Helseth). This 20-something patient collapsed…
idiopathic ventricular tachycardiaposterior fascicular idiopathic VTSVT with aberrancyTachycardia-induced cardiomyopathyWide complex tachycardia9 Min Read Steve SmithonJuly 6, 2026 What is the critical finding for establishing the diagnosis of this wide complex tachycardia? This was sent to me by a former resident: A 38 year old with history of hypertension and obesity only presented with dizziness, abdominal…
missed OMIMissed OMI and diedNSTEMI is worthlessNSTEMI is worthless termNSTEMI with ongoing ischemia ignored10 Min Read Steve SmithonJuly 1, 2026 NSTEMI (Non-STEMI, or Non ST Elevation MI) is a totally worthless diagnosis. This ECG was sent to me with no information. What do you think? I responded: “Inferior OMI” The sender then sent the clinical…