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…
hyperkalemiaLBBBMINOCAmodified sgarbossa criteriatype 2 MI8 Min Read Steve SmithonJanuary 21, 2025 Acute Dyspnea in a Dialysis Patient. K is 6.3 mEq/L. Are ECG findings due to hyperkalemia, or even due to Type 2 MI? I was reading ECGs on the system and saw all of these, from one patient. I read them without clinical context and looked at the clinical…
Hans HelsethonJanuary 23, 2025 Acute chest pain with LBBB and obvious OMI, worsening on serial ECGs, but repeatedly missed by physicians and Marquette 12SL
LBBB OMImodified sgarbossa criteriaQueen of Hearts vs. conventional algorithm6 Min Read Hans HelsethonJanuary 23, 2025 Acute chest pain with LBBB and obvious OMI, worsening on serial ECGs, but repeatedly missed by physicians and Marquette 12SL This was written by Hans Helseth. He just graduated from college. He has no medical training, but he has read this blog for years. He is an…