arterial pulse tapping artifactFalse positive ECGRVH7 Min Read Mark HellermanonJune 2, 2026 An ECG Finding Every Doctor Should Recognize — It’s More Common than You Think! Post by Dr. Mark Hellerman. = = = Two octogenarians with known extensive CAD presented to our ED the same afternoon with chest discomfort. In…
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…
precordial Swirl due to Right Ventricular MIRV MIRVMI in lead V1Shock4 Min Read Steve SmithonMarch 30, 2014 The ECG told the whole story, but no one listened: ECG interpretation skills are critical to patient outcomes. Preface This was sent by a medical student somewhere in the world who will remain anonymous. Details are scant so that it cannot be…
STEMI with less than 1 mm ST elevationsubtle1 Min Read Steve SmithonMarch 30, 2014 New ACC poster: many STEMI patients present with subtle ST elevation. New ACC poster: many STEMI patients present with subtle ST elevation. Their prognosis is similar to those who meet STEMI…
3-Vessel diseaseAslanger patternaVROcclusion with less than 1mm ST Elevationposterior STEMIsubendocardial ischemiasubtle3 Min Read Steve SmithonApril 2, 2014 A Non STEMI that needs the cath lab now. A male in his 60’s called 911 for chest pain. He had some cardiac risk factors including hypertension, on meds, but no previous…