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…
hyperkalemiapseudoinfarction2 Min Read Steve SmithonJune 13, 2013 Hyperkalemia and ST Segment Elevation, Post 1 Case 1. A male in his 60’s presented with weakness. Here is his initial ECG. He had no chest pain: Probable junctional…
hyperKhyperkalemiahyperkalemia mimics inferior OMIHyperkalemia PseudoSTEMI casespseudoinfarctionPseudoSTEMI2 Min Read Steve SmithonJune 15, 2013 A Tragic Case, related to the last post 5-10 years ago, a male in his 70’s presented with weakness. There was no chest pain. Here is his initial ECG: There is…
Steve SmithonJune 16, 2013 Formula to differentiate Normal Variant ST Elevation (Early Repolarization) from Anterior STEMI Here is a link to the full text of the article in Annals of EM It is critical to use it only when the differential is subtle LAD occlusion vs.…