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…
atrial_fibrillationcomputerwandering atrial pacemaker2 Min Read Steve SmithonAugust 11, 2017 Beware Automated Interpretations of Atrial Fibrillation! See this ECG: There is an irregularly irregular rhythm. The Automated interpretation was “Atrial Fibrillation.” What is it? Look…
AV blockbradycardiaisorhythmic dissociationRBBBThird (3rd) degree AV blockwide QRS3 Min Read Steve SmithonAugust 13, 2017 Sudden weakness with bradycardia and bizarre T-waves An 60-something man complained of sudden weakness. There was no chest pain or SOB. He had normal blood pressure and perfusion and…
Adenosineatrial flutternarrow complex tachycardia4 Min Read Steve SmithonAugust 23, 2017 What happens when you give adenosine to a patient with this rhythm? A 40-something presented with palpitations and had a regular pulse at 170. Here is his 12-lead ECG: The computer reads supraventricular…