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…
PediatricSinus Tachycardia Extreme1 Min Read Steve SmithonJanuary 29, 2013 Heart rate of 230 beats per minute What can you say about this ECG at a rate of 230 beats per minute? Answer below The QRS is very narrow (about 70 ms?), so it must be a…
hyperkalemiapseudoinfarctionpseudoRBBB1 Min Read Steve SmithonFebruary 2, 2013 Right Bundle Branch Block with ST Elevation in V1? There is a wide QRS with a tall R-wave in aVR and V1 and wide S-wave in lateral leads, leading one to believe this is RBBB. There is ST…
RVOT (right ventricular outflow tract ventricular tachycardia)Ventricular Tachycardia without structural cardiac abnormality2 Min Read Steve SmithonFebruary 5, 2013 Regular Wide Complex Tachycardia. What is the Diagnosis? A male in his 40’s with no previous heart history presented with palpitations. There were no symptoms or evidence of…