LAD occlusionRBBB4 Min Read Steve SmithonMarch 3, 2026 Chest pain and Right Bundle Branch Block A 62 yo male with h/o CAD and stent in 1st OM presented with Chest pain while biking. Vitals were normal. An ECG was recorded: What do you…
de Winter's T-wavesLAD occlusionLAD OMI missedmissed OMIOMI7 Min Read Steve SmithonMay 31, 2023 Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief). I received the following text message with these 3 EKGs (providers text me ECGs all day every day; most are false positives; many are subtle…
Arrhythmogenic Right Ventricular CardiomyopathyArrhythmogenic Right ventricular dysplasiaARVCARVDepsilon waveRVOT (right ventricular outflow tract ventricular tachycardia)13 Min Read Pendell MeyersonJune 3, 2023 A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED! Written by Pendell Meyers A woman in her 30s with minimal past medical history presented simply stating she was “feeling unwell.”…
Normal ECG by computer algorithmprehospital ECGspontaneous reperfusionST depression maximal in V1-V4Transient OMI5 Min Read Steve SmithonJune 5, 2023 A 40-something male with resolving chest pain and a “Normal ECG” by computer and cardiology overread A 40-something male presented by ambulance with one hour of chest pain that was improving after sublingual nitroglycerine and 325 mg of…