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The Worship of Gadgets and Gadget Procedures open.substack.com/pub/pauldthomp… This has been called "Gizmo Idolatry" and it applies to many medical interventions.

Be Careful Diagnosing Anterior-Inferior Wall MIs open.substack.com/pub/pauldthomp… This woman was incorrectly diagnosed as having an inferior and possibly anterior wall MI based on her ECG. Such misdiagnoses will become more common as the population ages. Find out why.

Make Sure That "Sinus Bradycardia" is not 2 to 1 AV Nodal Block open.substack.com/pub/pauldthomp… This ECG and post demonstrate the rule I was taught by a senior clinician almost 50 years ago.

Atrial Fibrillation with a Rapid Ventricular Response Can Mimic VT open.substack.com/pub/pauldthomp… This tracing looks like VT but is probably rapid A fib and an example of why the law of parsimony is worth remembering.

Atrial Fibrillation with a Rapid Ventricular Response Can Mimic VT open.substack.com/pub/pauldthomp… This tracing looks like VT but is probably rapid A fib and an example of why the law of parsimony is worth remembering.

Feedback From Readers open.substack.com/pub/pauldthomp… These are comments on my posts and my response.

For Less Work, Better Anticoagulation open.substack.com/pub/pauldthomp…

Will Health Care Suffer If We Say Nothing? open.substack.com/pub/pauldthomp…

If You’re Physically Active, Don’t Drink to That open.substack.com/pub/pauldthomp… This post discusses why it's good to be a drug dealer and explores if alcohol increases LDL-C more in active people.

One Stroke Can Ruin Your Whole Day open.substack.com/pub/pauldthomp… This post will appear on May 6 and discusses a liberal approach to anticoagulation and when patients with a fib and even zero risk scores should be anticoagulated.

Have a Thick Differential Diagnosis List for Thick Hearts open.substack.com/pub/pauldthomp… The posts discusses the importance of avoiding "diagnostic anchoring" when evaluating increased left ventricular wall thickness.

This post explores if some heart disease risk factors are early signs of diabetes.

My Babies’ Picture - Not My Baby Pictures open.substack.com/pub/pauldthomp… This post shows my twin daughters' first baby picture and how their birth lead to one of my "Rules".

The Sneaky Circumflex Coronary Artery open.substack.com/pub/pauldthomp… This post discusses posterior wall MIs and why a good story can trump the ECG and sometimes even the troponin.

What’s Best – Guideline-Directed Medical Therapy OR open.substack.com/pub/pauldthomp… This post discusses the difference between Goal Directed Medical Therapy and Patient Directed Medical Care?

No Iron? – No Ironman open.substack.com/pub/pauldthomp… This post discusses iron metabolism in athletes and possible mechanisms for its role in performance.

Five Rules for Evaluating Cardiac Conditions in Athletes open.substack.com/pub/pauldthomp… This post presents 5 simple rules to remember when evaluating athletes.

Ask Not What Your Vaccination Can Do For You open.substack.com/pub/pauldthomp… This post describes my experience with polio personally and professionally. I wonder if we'll see such diseases again.

Subscriber Feedback open.substack.com/pub/pauldthomp… This post addresses comments provided by our 4,000+ subscribers.

I’m Sticking with Ezetimibe open.substack.com/pub/pauldthomp… This post responds to some questions about the effectiveness of ezetimibe.