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 memoryT-wave memory5 Min Read Steve SmithonNovember 9, 2023 Explain this ECG in the context of active chest pain, slightly elevated troponin without a delta, RCA culprit, and previous with LBBB A 60-something yo female presented w/ exertional chest pain for 3 days. She had a recent positive stress test about one week ago. Pain was…
aVL importance in inferior OMI diagnosisfalse positive cath lab activationFalse positive ECGHOCMHypertrophic Cardiomyopathystroke6 Min Read Steve SmithonNovember 11, 2023 A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis? A 90-something year old woman presented with an acute mild stroke. She had a routine ECG as part of her workup: What do you think? This was…
Comparison with Previous ECGfalse positive cath lab activation7 Min Read Steve SmithonNovember 14, 2023 How important are old ECGs in Non-obvious cases of potential OMI? In the last post, we saw how important old ECGs are in assessing the current ECG in a patient without atypical presentation (in this previous…