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…
5 Min Read Steve SmithonJanuary 31, 2014 Paroxysmal SVT (PSVT) that repeatedly recurs in spite of successful conversion with adenosine An elderly male complained of dyspnea. His pulse was regular at just under 150. BP was 110/70. There was no evidence of…
4 Min Read Steve SmithonFebruary 9, 2014 Dyspnea on Exertion and a Positive Troponin A woman in her 50’s complained of dyspnea on exertion for two days. Her lungs were clear on exam. Her first troponin I…
5 Min Read Steve SmithonFebruary 17, 2014 ST Elevation and a Positive Troponin: Is it Myopericarditis or STEMI? A 51 yo male smoker with no other CV risk factors and no previous heart disease presented to a hospital without PCI capability complaining of…