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Reposted by Willy Frick

brookswalsh @brookswalsh.bsky.social · 22/01/2026

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...

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Willy Frick @willyhfrick.bsky.social · 21/10/2025

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

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Willy Frick @willyhfrick.bsky.social · 20/06/2025

Now I'm really ready to start fellowship. ⚡⚡⚡ #EPeeps

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Willy Frick @willyhfrick.bsky.social · 17/06/2025

hqmeded-ecg.blogspot.com/2025/06/ante... Does the culprit match? #ECGSky #Medsky #cardiosky

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Willy Frick @willyhfrick.bsky.social · 03/06/2025

Read our editorial at the link below! www.termedia.pl/Occlusion-my... #ECGSky #Medsky #cardiosky @ecgcases.bsky.social

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Willy Frick @willyhfrick.bsky.social · 14/05/2025

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.

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Willy Frick @willyhfrick.bsky.social · 25/04/2025

I can't figure out an elegant explanation for the intermittent aberrancy. Anyone? #ECGsky #Medsky #cardiosky #EPeeps

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Willy Frick @willyhfrick.bsky.social · 12/04/2025

So much to see here!! What explains the various QRS morphologies? #ECGsky #cardiosky #EPeeps #medsky

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Reposted by Willy Frick

J.M. Cooper @narrowqrs.bsky.social · 10/04/2025

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?...

youtu.be

VT Entrainment Mapping of Scar/Reentry VT

YouTube video by Dr. Joshua Cooper - Arrhythmia Education

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Willy Frick @willyhfrick.bsky.social · 07/04/2025

Overhead page code blue. You arrive bedside to find ongoing chest compressions. First pulse check, you see this. What next? #cardiosky

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Willy Frick @willyhfrick.bsky.social · 06/04/2025

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

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Willy Frick @willyhfrick.bsky.social · 04/04/2025

Fred W. Frick, MD FACP, inducted 2000 William H. Frick, MD FACP, inducted 2025 @acpimphysicians.bsky.social

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Reposted by Willy Frick

Zaven Sargsyan @sargsyanz.bsky.social · 30/03/2025

"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

hqmeded-ecg.blogspot.com

Everyone sees ST depression, but what does it mean?

Emergency cardiac care, cardiology, EKGs, ECGs, electrocardiography, echocardiography, dysrhythmias, arrhythmias, STEMI, NonSTEMI, NSTEMI, cardiology

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Reposted by Willy Frick

J.M. Cooper @narrowqrs.bsky.social · 16/03/2025

🚨 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!!!!

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Willy Frick @willyhfrick.bsky.social · 15/03/2025

New update just dropped in the coronary anomalies section!

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Reposted by Willy Frick

Zaven Sargsyan @sargsyanz.bsky.social · 04/02/2025

Good example of massive LVH voltage but also many non-voltage criteria for LVH - classic repolarization abnormality “backwards-check” STD/TWI in positive leads - left atrial abnormality - non-specific intraventricular conduction delay Only missing LAFB/LAD @willyhfrick.bsky.social

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Reposted by Willy Frick

Jeffrey M Vinocur @jeffreyvinocur.bsky.social · 02/02/2025

#EPeeps Do you anticoagulate flutter < 200 bpm?

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Willy Frick @willyhfrick.bsky.social · 31/01/2025

I know this is really silly to even notice, but I've never before seen MUSE do this -- autoscale in such a way that the waveform is still too big for the "graph paper." #EPeeps #ECGsky #cardiosky #medsky (Fun fact: This ECG is high lateral OMI)

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Willy Frick @willyhfrick.bsky.social · 18/01/2025

I've never seen this reversal clinically before yesterday. ECG1: Reversal ECG2: Example of prior (multiple are similar) What's the cable error? #ECGsky #medsky #cardiosky #EPeeps

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Willy Frick @willyhfrick.bsky.social · 17/01/2025

What non-cardiac condition does this patient have? #ECGsky #medsky #cardiosky

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Willy Frick @willyhfrick.bsky.social · 15/01/2025

3:1 block. Very uncommon/rare ratio in my experience. It was not CHB based on tele, he intermittently went 2:1 but predominantly 3:1. #EPeeps #ECGsky #cardiosky #medsky

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Reposted by Willy Frick

Jesse McLaren @ecgcases.bsky.social · 12/01/2025

30 year old, history of thyroid disease, with sudden bilateral leg weakness #ECG #EKG #ECGsky #cardiosky #medsky

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Willy Frick @willyhfrick.bsky.social · 12/01/2025

What explains the appearance of the LAD here? Read about it on my angiography guide! intuitivecardiology.notion.site/What-explain...

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Willy Frick @willyhfrick.bsky.social · 11/01/2025

I can't figure this one out. I think AF with variable conduction through the LBB. R1-2 intermediate speed, R3-4 LBBB, R5 intermediate, R6-10 LBBB, R10 normal, R11 intermediate, etc. But why? Alternate explanation? #EPeeps #cardiosky #medsky #ECGsky

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Willy Frick @willyhfrick.bsky.social · 11/01/2025

Another one I can't resist sharing. Two ECGs, same patient, different visits. #ECGsky #medsky #cardiosky #EPeeps

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Willy Frick @willyhfrick.bsky.social · 08/01/2025

If you had to guess presenting complaint, what would you say? #ECGsky #cardiosky #medsky

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