Willy Frick
@willyhfrick.bsky.social
Heart rhythm fellow. Medical educator. ECG enthusiast. Associate Editor of Dr. Smith's ECG Blog: https://drsmithsecgblog.com
Even with AI technology, clinical judgement remains essential. This ECG shows a lot of ST elevation, and the sophisticated AI ECG interpretation also points towards acute occlusion, but just barely. Activate the lab? @willyhfrick.bsky.social drsmithsecgblog.com/stemi-positi...
Do #EPeeps believe in AVNRT upper common pathway (block)? This patient had: 1. AH jump 2. Septal VA < 80 ms 3. Concentric A during SVT 4. During RVP: (Stim-A)-(V-A) > 85 ms 5. During RVP: PPI-TCL > 115 ms 6. SVT terminated by RV burst pacing 7. Ablation in TOK rendered non-inducible
Arrhythmogenic cardiomyopathy, epicardial access. Pacing from ablator. @narrowqrs.bsky.social @shah.md @jeffreyvinocur.bsky.social @danacjohnson.medsky.social #EPeeps
Does the constancy of the PVC coupling interval suggest triggered mechanism? #ECGSky #MedSky #CardioSky @jeffreyvinocur.bsky.social @narrowqrs.bsky.social @shah.md @danacjohnson.medsky.social @daverichley.bsky.social @alexturinmd.bsky.social
I’m very proud of Dr. Lin for his first post on the blog. #ECGSky #MedSky #CardioSky
Interns are not (yet) poisoned by the STEMI/NSTEMI paradigm
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
Read our editorial at the link below! www.termedia.pl/Occlusion-my... #ECGSky #Medsky #cardiosky @ecgcases.bsky.social
How many findings can you name? #ECGSky #EPeeps #cardiosky #medsky
And now for something completely different (a very difficult electrophysiology case)
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
60M with severe ischemic cardiomyopathy, prior inferoposterior OMI. Overall impression is VT with fusion complexes. But...fusion with what? I thought supraventricular capture at first, but I am leaning more toward fusion with unrelated PVCs now.
I can't figure out an elegant explanation for the intermittent aberrancy. Anyone? #ECGsky #Medsky #cardiosky #EPeeps
So much to see here!! What explains the various QRS morphologies? #ECGsky #cardiosky #EPeeps #medsky
VT entrainment. Some of you want to learn it from the beginning. Some just want the punchline. Here's a direct link to the climax of the video, with examples of all the possible entrainment locations (isthmus, entrance, exit, bystander, outer loop, etc) youtu.be/XykkZNLm9bc?...
VT Entrainment Mapping of Scar/Reentry VT
YouTube video by Dr. Joshua Cooper - Arrhythmia Education
youtu.be
Overhead page code blue. You arrive bedside to find ongoing chest compressions. First pulse check, you see this. What next? #cardiosky
Glad to see the Australian guidelines reflect the data where American guidelines (@accintouch.bsky.social) were stuck in an antiquated era. The best time to move on from STEMI was years ago. The second best time is now. www.heartfoundation.org.au/for-professi... #medsky #cardiosky #ECGsky
Fred W. Frick, MD FACP, inducted 2000 William H. Frick, MD FACP, inducted 2025 @acpimphysicians.bsky.social
New publication for my OMI colleagues @sargsyanz.bsky.social @willyhfrick.bsky.social 💀 bhm.scholasticahq.com/article/1337...
Posterior Occlusive Myocardial Infarction on Chronic Right Bundle Branch Block | Published in Journal of Brown Hospital Medicine
By Andrew Sanchez, Omar El-Charif. An elderly woman with chronic RBBB presented in shock and was diagnosed with posterior myocardial infarction
bhm.scholasticahq.com
"Your symptoms are critically important to me… If you have ANY chest discomfort [or whatever symptom the patient was experiencing] I need to know immediately. Please tell me or tell your nurse, because that would be an emergency." hqmeded-ecg.blogspot.com/2025/03/ever... @willyhfrick.bsky.social
Everyone sees ST depression, but what does it mean?
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
I'm delving into new territory here with narrated videos. Please tell me how I can improve! #ECGsky #medsky #cardiosky
Can you localize the culprit lesion on angiogram without taking ECG findings into account?
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
hqmeded-ecg.blogspot.com/2025/03/norm... #ECGsky #medsky #cardiosky
Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
🚨 OMG, I actually just sat down and did my video narration of my VT entrainment talk (!!!) I'm converting to MP4 video right now. Might upload to YouTube soon, or I might go to bed and upload within the next day. But holy cow, it was a big effort and I'm so glad to get it done!!!!
Recent emotional case that made a big impact on me. I don’t have all the answers. Tell me what you think. Lit review at the bottom #ECGsky #medsky #cardiosky hqmeded-ecg.blogspot.com/2025/03/pati...
Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
hqmeded-ecg.blogspot.com/2025/02/afte... #ECGSky #cardiosky #medsky
After seeing this ECG, are there any medications you would consider giving?
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
hqmeded-ecg.blogspot.com/2025/02/what... #ECGsky #medsky #cardiosky
What factor determines final diagnosis of STEMI vs. NSTEMI? Is it ST Elevation? Occlusion? or Something else? What?
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
hqmeded-ecg.blogspot.com/2025/02/acut... #ECGsky #medsky #cardiosky
** **ACUTE MI/STEMI** **: Activate the cath lab if the patient has chest pain?
Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology
hqmeded-ecg.blogspot.com
