Home The diagnosis is NSTEMI, a worthless diagnosis which harms patients.

onMay 21, 2025

The diagnosis is NSTEMI, a worthless diagnosis which harms patients.

0 min read

onMay 21, 2025

Dyspnea, syncope and ST-elevation in a young female

Written by Magnus Nossen A woman in her thirties contacted the ambulance service because of progressive shortness of breath. She reported…

7 Min Read

Mark Hellerman

onJune 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 misplacement

8 Min Read

Hans Helseth

onMay 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,…

6 Min Read

Jesse McLaren

onMay 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…

9 Min Read

Willy Frick

onMay 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…

10 Min Read

Willy Frick

onMay 24, 2025

And now for something completely different (a very difficult electrophysiology case)

Written by Willy Frick “Two episodes of syncope in the past month. Only speaks French. No chest pain or shortness of breath.”…

11 Min Read

Willy Frick

onMay 26, 2025

What happens when a clinic does not have troponin testing for chest pain patients? Stress testing?

Written by Willy Frick — Commentary added below on 6/4/2025 by Ken Grauer regarding ETT A 90 year old man with history of hypertension,…

2 Min Read

Pendell Meyers

onMay 28, 2025

A sick elderly patient with nonspecific symptoms

Written by Pendell Meyers An elderly woman summoned EMS for generalized weakness and multiple vague complaints. She was confused and ill…

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The diagnosis is NSTEMI, a worthless diagnosis which harms patients.

Is this STEMI or NSTEMI? Neither. It is OMI.