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…
LV aneurysmRBBB1 Min Read Steve SmithonMay 7, 2012 What is the Diagnosis? A 60 yo woman presented with CP and troponin I of 0.85 ng/ml. There is RBBB, but without the usual rSR’ in right precordial…
Steve SmithonMay 10, 2012 Peer Reviewed Lecture: ECG Diagnosis of STEMI-equivalent in Left Bundle Branch Block (20 minutes) This is a lecture for the journal Academic Emergency Medicine, which now publishes lectures that have been peer-reviewed. This is the second…
LBBBNew LBBB2 Min Read Steve SmithonMay 15, 2012 New LBBB after Cardiac Arrest An elderly man with a history of DM and renal failure had a complaint of back pain, and called 911. En route, he had a seizure, then…