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…
echocardiogrampulmonary embolismSyncopeT-Wave inversion1 Min Read Steve SmithonApril 2, 2011 Answer: pulmonary embolism. Now another, with ultrasound…. This 18 year old presented with syncope and tachycardia. Similar to the last case (the “quiz”), there is sinus tachycardia with…
acute right heart strainasthma1 Min Read Steve SmithonApril 2, 2011 Is it pulmonary embolism? This is a 41 year old male with severe asthma who barely avoided intubation. His troponin I returned at 0.130 ng/mL, and here is his…
aVRleft main2 Min Read Steve SmithonApril 4, 2011 ST elevation in aVR, with widespread ST depression This case and ECG was already posted here: https://drsmithsecgblog.com/2010/01/deep-and-widespread-st-depression.html However, because of a…