LBBB and Queen of HeartsLBBB OMImodified sgarbossa criteria7 Min Read Jesse McLarenonAugust 13, 2026 80 year-old female with epigastric burning and previously diagnosed LBBB By Jesse McLaren An 80 year-old female with a history of diabetes and CABG called paramedics for 2 hours of epigastric burning that did not…
hypokalemialong QT bizarreSpiked Helmet SignU-waveWavy pattern of hypokalemia5 Min Read Steve SmithonAugust 10, 2026 This was sent to me. What is the diagnosis? What do you think? It looks very bizarre. Differential: 1) Severe ischemia 2) arterial pulse tapping artifact (APTA) (but it is not APTA…
Lucky to have cardiac arrestterminal QRS distortion7 Min Read Steve SmithonAugust 6, 2026 Can a patient be lucky if he goes into ventricular fibrillation? Yes. But accurate ECG interpretation (and the Queen of Hearts) can prevent it. Also, listen to young doctors. They often know much more than the experienced ones. This was sent by Ahmed Adel. Hello, Dr. Smith. I hope…
Aslanger plus posteriorMissed OMI and diedStudent sees it9 Min Read Steve SmithonAugust 2, 2026 If you can’t listen to a good student, your patient might be in trouble (and use the Queen of Hearts) This case was sent to me by Ahmed Marai, who is a medical student. Ahmed received it from Omer Mohammed, a fifth-year medical student from…