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…
cardiac arrestLBBBleft bundle branch blockNew LBBBwide complex2 Min Read Steve SmithonJanuary 14, 2011 Cardiac Arrest, Wide Complex, Is it STEMI? For other cases of cardiac arrest, see these posts Case This 200 kg patient was watching TV when he had a witnessed v fib arrest, and had a…
algorithmcomputerhyperacute T-wavestype III LADwraparound LAD2 Min Read Steve SmithonJanuary 31, 2011 Hyperacute T-waves, missed by computer, short DBT, but large myocardial infarction This 57 yo male with no past medical history had sudden onset of chest pain while sleeping. He called 911 at midnight and his…
aVLhyperacute T-wavesinferior hyperacute T-wavesserial ECG2 Min Read Steve SmithonFebruary 8, 2011 Inferior hyperacute T-waves. The clue is T-wave inversion in aVL. Serial ECGs evolve to ST Elevation. This is a 66 year old male with severe substernal chest pain. He was intermittently bradycardic down to the 30’s with a blood…