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…
inferior hyperacute T-wavessubtle1 Min Read Steve SmithonDecember 13, 2013 A Male in his 60s with Chest pain. What is the ECG Diagnosis? Here is the ECG of a man with 2 hours of chest pain. He had a history of MI with LAD stent. I cannot find his prehospital ECG, but…
subtle4 Min Read Steve SmithonDecember 15, 2013 Friday’s post produced skeptics….. I have been posting ECGs like this for so long that I erroneously thought everyone would see the inferior STEMI here. I was just posting…
hypokalemia1 Min Read Steve SmithonDecember 17, 2013 Young woman with weakness. The ECG is pathognomonic. What is it? A young woman presented by EMS for weakness. Here is her ED ECG: Diagnosis? See Below. There is sinus rhythm. There is a very wide…