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…
brugadapseudoinfarctionsaddleback STE2 Min Read Steve SmithonOctober 11, 2010 Pseudoinfarction patterns: there are many and this is one: what is it? This is courtesy of Mohammed S. Alo, who kindly let me reproduce a case from his blog (Mohammed Alo’s blog). This is a 40 year old male…
Inferior Aneurysm MorphologyLV aneurysmreciprocal ST depressiontachycardia2 Min Read Steve SmithonOctober 26, 2010 Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context This 54 year old patient with a history of kidney transplant with poor transplant function had been vomiting all day when at 10 PM he…
RBBBright bundlesubacute MIwide complex2 Min Read Steve SmithonNovember 6, 2010 Subacute STEMI Masked by a Wide Complex See this post for a wide complex that reveals the MI. Case: This 46 yo male with no h/o MI or coronary disease presented with 2 days of…