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…
hypokalemiaRBBBU-waves1 Min Read Steve SmithonAugust 16, 2013 Right Bundle Branch Block with Biphasic Wave in lead V2? A middle-age alcoholic presents with weakness and vague abdomimal discomfort. The patient’s previous ECG was from 4 years prior…
RV MIsubtle2 Min Read Steve SmithonAugust 21, 2013 Chest Pain in a 61 year old male. Inferior STEMI without inferior ST elevation. This 61 year old has a h/o CABG 20 years prior. Onset of chest pain 1 hour prior to calling 911. Here is the prehospital ECG:…
stress cardiomyopathy4 Min Read Steve SmithonAugust 23, 2013 Diffuse ST elevation and Chest pain in an Agitated Middle-aged male: Anterior STEMI or Takotsubo Stress Cardiomyopathy? A male in his 40’s was discharged from the ED after evaluation for chronic back pain. He was denied opiate medication and was very…