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…
cardiogenic shocksubacute MI2 Min Read Steve SmithonDecember 5, 2010 Cardiogenic Shock and Pulmonary Edema due to Subacute Anterior STEMI This is a 72 yo male whose symptoms began with a cough 12 hours prior to presentation, at which time he had CP, SOB, and resp distress. On…
Steve SmithonDecember 5, 2010 If your comment requires a personal response, email me at: dr.smiths.ecg.blog@gmail.com
NonSTEMIposterior leadsST depressionsubendocardial ischemia2 Min Read Steve SmithonDecember 6, 2010 ST depression V2-V4: Posterior leads, resolution of pain, and absence of posterior wall motion abnormality ruled out posterior STEMI I saw this 59 year old male 3 weeks ago. He had no previous history of CAD, and presented with very typical waxing and waning chest pain, much…