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…
Chest Pain ResolutionLAD OMI missedOMI with initial negative troponinPrecordial swirl9 Min Read Willy FrickonJanuary 24, 2025 Should we wait for troponin when the ECG does not show “diagnostic” ST Elevation? Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD)…
atrial flutter with 1:1 conductionflecainideslow atrial flutterWide complex tachycardia5 Min Read Magnus NossenonJanuary 26, 2025 Challenging Rhythms in an 80-something Man Written by Magnus Nossen and Ken Grauer You are shown the ECG that appears in Figure-1 — obtained from an 80-something year…
inferior hyperacute T-wavesyoung7 Min Read Hans HelsethonJanuary 28, 2025 A 34 yo Man with chest pain and Zero ST Elevation Written by Hans Helseth A 34 year old man with no known medical history presented to the ED after an hour of chest pain. He described the pain…