Cardiovascular Grand Rounds at Mayo Clinic Arizona, July 7, 2022: Let's Replace the STEMI/NonSTEMI Paradigm with the OMI/NOMI Paradigm.

7 Min Read

onJune 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 misplacement

8 Min Read

Hans Helseth

onMay 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,…

6 Min Read

Jesse McLaren

onMay 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…

9 Min Read

Willy Frick

onMay 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…

Normal ECG by computer algorithm

5 Min Read

Steve Smith

onJuly 16, 2022

A Middle Aged Male diagnosed with Gastroesophageal Reflux

This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he…

7 Min Read

Jesse McLaren

onJuly 18, 2022

Chest pain, RBBB but “STEMI Negative”: Is this a false cath lab activation, or a false cancellation?

A 90 year old with a history of atrial fibrillation presented with two weeks of intermittent retrosternal chest pain lasting minutes. An hour…

9 Min Read

Pendell Meyers

onJuly 25, 2022

A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain

Submitted by anonymous, written by Parker Hambright, MD, peer reviewed by Meyers, Smith, McLaren A man in his 50s with a past medical history…

What are You Looking For?

Dr. Smith's ECG Blog

Cardiovascular Grand Rounds at Mayo Clinic Arizona, July 7, 2022: Let’s Replace the STEMI/NonSTEMI Paradigm with the OMI/NOMI Paradigm.

See what happens when the consultant is "Not convinced of STEMI"

A Middle Aged Male diagnosed with Gastroesophageal Reflux

Read Next

An ECG Finding Every Doctor Should Recognize — It’s More Common than You Think!

The Right Decision for the Wrong Reason?

65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion?

STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis.

A Middle Aged Male diagnosed with Gastroesophageal Reflux

Chest pain, RBBB but “STEMI Negative”: Is this a false cath lab activation, or a false cancellation?

A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain