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…
NonSTEMIposterior leadsST depressionsubendocardial ischemia2 Min Read Steve SmithonDecember 6, 2010 ST depression V2-V4: Posterior leads, resolution of pain, and absence of posterior wall motion abnormality ruled out posterior STEMI I saw this 59 year old male 3 weeks ago. He had no previous history of CAD, and presented with very typical waxing and waning chest pain, much…
algorithmcomputerposterior reperfusion T-waves2 Min Read Steve SmithonDecember 13, 2010 Computer misses again — two cases: one very obvious, one very subtle Case 1. A 63 year old male had chest pain and syncope after playing hockey (this is Minnesota). A prehospital ECG showed inferior ST elevation…
echocardiogramstress cardiomyopathytakotsubo1 Min Read Steve SmithonDecember 20, 2010 Takotsubo Stress Cardiomyopathy Unfortunately, the ultrasound images of this case were lost. Briefly, this woman without significant cardiac history went into pulmonary edema…