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…
6 Min Read Hans HelsethonMarch 10, 2025 “Anterior” ST Depression: Which Lesion is the Culprit? Written by Hans Helseth Hans is an EKG tech who is applying to medical school. EKG interpretation skills have little to do with one’s…
Normal ECG by computer algorithmOutcome reference standard7 Min Read Jesse McLarenonMarch 12, 2025 Chest pain and computer ‘normal’ ECG. Wait for troponin? And what is the reference standard for ECG diagnosis? Cardiologist or outcome? Written by Jesse McLaren A 50 year old presented to triage with one hour of chest pain, and the following ECG labeled ‘normal’ by the computer…
circumflex occlusionmissed OMIMorphinepseudonormalizationpseudonormalization--bestReperfused OMI or Active OMIreperfusion and reocclusion7 Min Read Magnus NossenonMarch 14, 2025 What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves? Written by Magnus Nossen, with edits by Smith The patient in today’s case is a 70-year-old farmer. He has a history of coronary artery…