Home Great case from EMS 12-lead: lateral STEMI in paced rhythm, missed

onApril 4, 2012

Great case from EMS 12-lead: lateral STEMI in paced rhythm, missed

pacing

1 min read

Click here for a great case posted by Tom Bouthillet at EMS 12-lead.

pacing

Steve Smith

onApril 4, 2012

pacing

Dyspnea, syncope and ST-elevation in a young female

Written by Magnus Nossen A woman in her thirties contacted the ambulance service because of progressive shortness of breath. She reported…

7 Min Read

Mark Hellerman

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…

5 Min Read

Steve Smith

onApril 6, 2012

Inferior hyperacute T-waves and ST elevation. Angiogram is normal. What happened?

I recently received this from a reader: “I recently saw this 31 year old male with central chest tightness that started at 530am and…

LAD occlusion vs. benign early repolarization

2 Min Read

Steve Smith

onApril 9, 2012

Repost: what is the diagnosis?

I’m reposting an edited version of this post from June 2009. This is a 46 yo male with acute onset of chest pain, in distress, who…

2 Min Read

Steve Smith

onApril 15, 2012

Pseudonormalization of T-waves: STEMI

Here are other cases of pseudonormalization. A 61 y.o. female with no h/o coronary disease presented with 3 days of nausea, vomiting, 3-4…

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Great case from EMS 12-lead: lateral STEMI in paced rhythm, missed

Intermittent third degree heart block due to stuttering inferior STEMI

Inferior hyperacute T-waves and ST elevation. Angiogram is normal. What happened?

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Dyspnea, syncope and ST-elevation in a young female

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.

Inferior hyperacute T-waves and ST elevation. Angiogram is normal. What happened?

Repost: what is the diagnosis?

Pseudonormalization of T-waves: STEMI