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…
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…