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7 Min Read

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…

de Winter's T-waves

2 Min Read

Steve Smith

onDecember 3, 2012

Back pain radiating to the chest in a man in his 40’s

A man in his 40’s presented with severe back pain radiating to the chest. Here was his ECG, with pain: What is your diagnosis?…

1 Min Read

Steve Smith

onDecember 7, 2012

Two patients with chest pain and ST elevation. Are they STEMI?

Both of these patients presented with chest pain. What do you think of the ECGs? For the answer, go to the free pdf of this paper…

3 Min Read

Steve Smith

onDecember 14, 2012

STEMI: Which coronary artery is occluded?

This middle aged male with chest pain had this recorded by the medics at t = 0: ST elevation in I and aVL and reciprocal ST depression in…

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Back pain radiating to the chest in a man in his 40's

Read Next

An ECG Finding Every Doctor Should Recognize — It’s More Common than You Think!

The Right Decision for the Wrong Reason?

65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion?

STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis.

Back pain radiating to the chest in a man in his 40’s

Two patients with chest pain and ST elevation. Are they STEMI?

STEMI: Which coronary artery is occluded?