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…
hyperkalemiapseudoinfarction2 Min Read Steve SmithonJune 13, 2013 Hyperkalemia and ST Segment Elevation, Post 1 Case 1. A male in his 60’s presented with weakness. Here is his initial ECG. He had no chest pain: Probable junctional…
hyperKhyperkalemiahyperkalemia mimics inferior OMIHyperkalemia PseudoSTEMI casespseudoinfarctionPseudoSTEMI2 Min Read Steve SmithonJune 15, 2013 A Tragic Case, related to the last post 5-10 years ago, a male in his 70’s presented with weakness. There was no chest pain. Here is his initial ECG: There is…
Steve SmithonJune 16, 2013 Formula to differentiate Normal Variant ST Elevation (Early Repolarization) from Anterior STEMI Here is a link to the full text of the article in Annals of EM It is critical to use it only when the differential is subtle LAD occlusion vs.…