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Easy, but important case to quickly improve on new #ECG patterns! 57-year-old male makes an early morning call to EMS for chest pain lasting 30 minutes and radiating to the arm. History of prior PCI. Diagnosis?

Answer: Hyper-acute Anterior STEMI due to (re)-occlusion of the LAD. Fortunately this patient was correctly identified based on the subsequent ECG and promptly managed!

Don't miss Robert Herman, MD, PhD speaking at #BELVIS2025 in Belgrade on June 14 (8:30–9:45 am) about rethinking the STEMI paradigm with the OMI/NOMI model and how AI tools like #PMcardio improve #ECG interpretation and triage, streamlining diagnosis and treatment for acute MI patients.

🚨🚨 Our new paper out today in JAMA Cardiology: We examined hospital-level variability in achieving guideline-recommended treatment times for #STEMI across the U.S.—and how hospital performance, geography and case volume relate to outcomes. jamanetwork.com/journals/jamac… (Short thread 1/5)

Maybe STEMI is not yet a solved problem after all! “Overall, just 59.5% of patients presenting to a PCI-capable center were treated with an FMC-to-device time of 90 minutes or less”

Cracked phone or camera lens? No problem! Fully automated ECG digitization v3 using the PMcardio—AI that reads ECGs transforms even the most damaged ECG images into crisp, clean waveforms.

Your night shift starts with a 53-year-old diaphoretic male presenting with chest pain radiating to the left shoulder... Is there anything concerning about this "Normal #ECG"? 🤔

Stephen W. Smith Pendell Meyers David Didlake Nanashī🫀 Dr. Andreas Roeschl Arnel Carmona ECG.Hacks Emerson Floyd Sam Ghali, M.D. Ritu Thamman MD I typically share the answer, including a complete clinical workup, within 48 hours. 🤫 Can’t wait that long? Check the link in my bio for the answer now!

Dr. Andreas Roeschl Asanka Migelheva Agree and AI agrees!

Great engagement and answers so far! Two quick comments: 1. The automated diagnostic statement is not AI, it's an old rule-based algorithm from the 80s (see link in bio to reveal AI ECG interpretation). 2. Is the algorithm wrong? Does this ECG meet ST-elevation criteria?

Luke Taylor Stephen W. Smith Pendell Meyers David Didlake Nanashī🫀 Dr. Andreas Roeschl Arnel Carmona ECG.Hacks Emerson Floyd Sam Ghali, M.D. Ritu Thamman MD The best source (for me) is pattern recognition. You need to see thousands of these cases with outcomes and expert commentary. I've curated a list of 50+ educators who regularly post on X: x.com/i/lists/161792…

Our Chief Medical Officer Robert Herman, MD, PhD will speak at the Masterclass in AI and Cardiovascular Health in Amsterdam, organized by European Society of Cardiology. Don't miss his presentation on building an AI-powered medical startup & translating ECG-AI into clinical practice. #Cardiology #AI #ECG

A painful ECG for the STE millimeter-criteria purists! It’s hard to find a single feature on this tracing that isn’t clearly diagnostic of anterior STEMI yet the EKG does not meet formal millimeter criteria. Diagnosis: mLAD occlusion.

Fortunately, this spoke center is using Queen of Hearts through the PMcardio—AI that reads ECGs and immediately activated the cath lab based on this ECG! Here is a link to download the App: pmcardio.com

What an amazing case! More than 200-thousand people just recalibrated their neural network to see diagnostic hyperacute T-waves.

Introducing Dr. Smith’s ECG Blog 2.0! The world’s #1 ECG Blog now features: - smarter search (try “HATW in aVL”) - email newsletter for new posts Join over 200,000 monthly readers on our brand-new custom domain!

Amal Mattu Queen of Hearts on point, yet again! Obviously ECG or AI ECG is not a replacement of serial testing...

Both patients present with stabbing chest pain. But only one will suffer a VF arrest from a fully occluded culprit coronary artery. Can you spot which one based on their #ECG?

Lately there’s been concern over ‘subtle STEMIs’ being shared on X… But let’s be clear: it’s far more common to miss a STEMI than to ‘overcall’ one. Recognizing subtle patterns doesn’t harm—it saves lives. The more you see, the sharper your eyes become.

Study Milestone reached: Interim analysis for the AI-ECG TIMI Study is complete after enrolling 250+ patients across Austria, Belgium and Italy. Special thanks to Marta Belmonte national PI for Italy and the team of Sapienza Università di Roma for being our top enrolling site!