Stephen W. Smith (@smithECGBlog) header
Stephen W. Smith (@smithECGBlog) profile picture

EM Prof at Hennepin. Co-originator of #OcclusionMI (OMI) paradigm, ECG diagnosis of OMI, trained @PMcardioApp. https://xitter.twitterapi.xyz/t.co/SorPm0q4od

Minneapolis
Joined June 2011
Photo by Stephen W. Smith (@smithECGBlog)Photo by Stephen W. Smith (@smithECGBlog)Photo by Stephen W. Smith (@smithECGBlog)Photo by Stephen W. Smith (@smithECGBlog)Photo by Stephen W. Smith (@smithECGBlog)Photo by Stephen W. Smith (@smithECGBlog)Photo by Stephen W. Smith (@smithECGBlog)Photo by Stephen W. Smith (@smithECGBlog)Photo by Stephen W. Smith (@smithECGBlog)Photo by Stephen W. Smith (@smithECGBlog)
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!
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This is YOU, America!
An 8-year-old boy—living with his uncle after his father was deported—showed up for a scheduled immigration appointment because his family wanted to follow the law. ICE took him into federal custody and separated him from his family. This is the cruelty of mass deportation and the Trump administration’s immigration policy. It violates our values and who we are as a nation. America deserves better. op: @kpbs
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If you see patients with chest pain, and you are not using @PMcardioApp queen of hearts on every EKG, then you are missing Acute coronary occlusions! And you are probably also activating the cab Cath Lab unnecessarily.
Last quarter alone there were 16 independent evaluations of Queen of Hearts, including 6 peer-reviewed papers and 10 congress abstracts! 31,000+ patients across 5 highlights: more heart attacks detected, fewer false positives, better risk stratification.
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A new chapter for my family in San Francisco! 🇺🇸 Two years ago, my wife and I moved to Chicago to build relationships with US hospitals and support the clinical validation of our technology at @PowerfulMedical. Fast forward to today, our Queen of Hearts is the most extensively validated deep learning ECG algorithm, with 25+ independent studies involving over 40,000 patients, including randomized controlled trials. In the US, someone suffers a heart attack every 40 seconds. Yet many patients still face treatment delays because their ECG findings don’t meet traditional STEMI criteria. This unmet need is driving remarkable adoption. Today, 1 in 3 US emergency providers uses our technology, we have 70,000+ monthly active users globally, and we’re on track to reach over 4 million patients in 2026, quadruple last year’s number. Following FDA Breakthrough Device Designation and De Novo authorization, alongside a dedicated Category III CPT code (1139T) paving the way for reimbursement, we’re bringing AI-powered heart attack detection into routine clinical practice. Our US headquarters are now established in Silicon Valley, where my brother and CEO, @MartinHerman_, and @MichalMartonak and @ffxbauer have also made the move. Our goal: make this technology standard of care everywhere, from major hospitals to ambulances and rural communities. Two years later, another chapter in the US. Only this time, we’re a family of three! If you’re in the Bay Area, let’s connect! #MedTech #Cardiology
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Stephen W. Smith retweeted
Billboards reading "WHY IS TRUMP SELLING OUT AMERICA TO PUTIN?" have been spotted in Illinois, Atlanta, and Florida. The message and imagery are directly linked to recent geopolitical decisions that have drawn significant backlash from critics, including Ukrainian-American and Eastern European communities. Reportedly the organization behind the campaign is called Home of the Brave. It has also produced a video ad and launched a dedicated website titled "Why Is Trump Selling Out America to Putin?" You can visit the website here: whyputinfirst.org The organization also published an article explaining the reasoning behind the campaign: newsletter.ofthebrave.org/p/… I don't know much about this organization or where else these billboards have appeared. If you have any additional information, please share it in the comments!
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Stephen W. Smith retweeted
Minnesota held the line
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Amazing resource from a young cards in Iraq.
Take this Hyperacute T-wave Quiz, created by Ahmed Marai. Dr. Smith and the Queen of Hearts both got 30/30 correct How will you do? After you finish, you get your results and a link to a pdf with full explanations. @PMcardioApp @PendellM @RobertHermanMD drsmithsecgblog.com/hyperacu…
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Take this Hyperacute T-wave Quiz, created by Ahmed Marai. Dr. Smith and the Queen of Hearts both got 30/30 correct How will you do? After you finish, you get your results and a link to a pdf with full explanations. @PMcardioApp @PendellM @RobertHermanMD drsmithsecgblog.com/hyperacu…
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A 50-year-old with a normal ECG and troponin – Safe or Sorry? –so many learning points on this one, including lots of discussion on takotsubo. Is this takotsubo? drsmithsecgblog.com/a-50-yea… @PMcardioApp @willyhfrick @TheECGMedic
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Stephen W. Smith retweeted
READ THIS: This is brilliant. One of the best summaries of Trump’s policy towards Ukraine. Devastating.
🇨🇳 🇺🇸 Imagine China invades the United States. Chinese troops occupy Alaska. Chinese missiles destroy American cities, power stations and hospitals. Beijing complains that Washington has been behaving provocatively by refusing to surrender. President Donald Trump appears on television, desperately appealing to Europe for help. Europe’s response? “Donald, shut up. You don’t have the cards. You’re in a very bad position. You should be grateful we’re even talking to you.” Then a Chinese missile strikes an elementary school in Washington. Dozens of American children are killed. A European leader is asked whether Beijing should be held responsible. “Look, it’s terrible. Absolutely terrible. But we must remember that people are dying on both sides. Chinese soldiers are being killed by American troops, too. We cannot simply blame China because some American children have died. We need to understand the legitimate security concerns of both countries.” Meanwhile, reports emerge that 50,000 American children have been forcibly taken by Chinese occupation forces. Children from Ohio, Kentucky, Kansas and Texas have been transported to China, separated from their parents and placed with Chinese families. Europe urges everyone to remain calm. “Frankly, some of these children have been placed with better Chinese families. Very respectable people. Lovely homes. We mustn’t allow emotional arguments about children to derail the peace process.” Trump demands their immediate return. European leaders roll their eyes. “Honestly, the man is exhausting. Every time we speak to Trump, it’s the same bloody thing. Anti-aircraft missiles, air defence systems, ammunition, weapons, weapons, weapons. Can’t he just shut up for five minutes? We’re trying to negotiate peace here.” Meanwhile, Europe demands that Washington immediately stop attacking Chinese oil refineries and military infrastructure. “American strikes are escalating the conflict and threatening global energy prices. Beijing needs reassurance that its infrastructure will be protected.” China continues systematically destroying America’s electricity grid, bridges and railway networks. Europe calls for restraint. From America, naturally. European envoys then fly to Beijing to negotiate lucrative deals involving gas from occupied Alaska and a magnificent new North American security architecture. “We must address China’s legitimate security concerns. Perhaps America could withdraw its troops from certain states and reconsider its military alliances. After all, Beijing has genuine concerns about American military forces operating so close to Chinese positions.” The Chinese positions are in Texas. Trump protests that nobody has asked the Americans what they think. “Donald, we’re negotiating peace. Please stop being difficult. China’s security concerns are just as legitimate as yours.” Eventually, Brussels announces a historic agreement with Beijing determining the future of North America. The Americans are invited to applaud. Now, if this sounds like foreign policy devised by a committee of spectacularly incompetent estate agents attempting to sell a house while its owners are being murdered upstairs, congratulations. Your brain is functioning. In modern American diplomacy, the country invading its neighbour deserves security guarantees, commercial opportunities and understanding. And the children? Well, there are always two sides to every story. The moral collapse of a government. Stay connected, follow @Microinteracti1
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It’s completely FREE for 5 cases every month.
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Stephen W. Smith retweeted
I need queen of hearts🥹🥹🥹
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Stephen W. Smith retweeted
This is an astonishing policy failure in managing chips crucial to national security and our economic future -- because the administration knew what was going on and did nothing.
The story keeps getting crazier. To recap everything that has been reported so far: - The US intelligence community discovered that Jensen Huang, the CEO of the largest company in the world, was sleeping with Alice Huang, a Chinese spy and an executive at Megaspeed. (FT) - Multiple independent investigations have concluded that Megaspeed is likely a Chinese cutout, which helps Chinese companies access AI chips or circumvent export controls. (NYT and Bloomberg) - The US intelligence community also concluded that Alice Huang’s goal was to convince Jensen to lobby the U.S. government to loosen export controls on advanced AI chips. (NYT) - The intelligence community relayed this information to “a small group of top US government officials” earlier this year. (FT) - Over the last year, Jensen Huang has repeatedly lobbied the U.S. government to loosen export controls on advanced chips. @BISgov has done so, not only by permitting the export of H200 chips to China, but also not enforcing export controls that would have required a license for exports of the most advanced Blackwell chips to Megaspeed and Southeast Asia. - Although @CommerceGov leadership was presumably briefed on this information by the U.S. intelligence community, @BISgov has taken no actions to tighten controls on Megaspeed or Southeast Asia. - Megaspeed remains a preferred cloud partner of Nvidia, and continues to receive Nvidia Blackwell chips despite employing a Chinese spy who reportedly is romantically engaged with the CEO of Nvidia. - Tens of billions of dollars worth of AI chips have been exported to Southeast Asia this year alone, and Malaysia and Singapore are now two of the four largest importers of AI chips in the world. What is going on here??? We need answers. The question of who gets the most advanced AI chips in the world is literally the defining strategic question of our time. And not only does it seem like the MSS may be directly influencing the debate on export controls in the United States, but also @CommerceGov is refusing to listen to the warnings of the IC on this issue. What is a POSSIBLE good explanation for why Megaspeed is still receiving chips? Why is there not a license requirement for AI chip shipments to all of Southeast Asia? This is beyond strange at this point. The fallout from this story will be massive. Obviously, the motivations underpinning Nvidia’s policy views opposing export controls must now all be questioned. But also, how did @BISgov sit on this information and has still taken no actions? We need answers.
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We made sure their voices were heard. 💔 Rest in Peace 🕊️ Rest in Power 🕯️
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A 30-something patient with chest pain, resolved after a “GI cocktail.” And even if an ECG is non-diagnostic, must at least one troponin be measured? @PMcardioApp drsmithsecgblog.com/a-30-som…
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This is RFK's work. RFK murders babies. RFK was asked by Congress to endorse vitamin K for newborns and he refused to do so, encouraging parental skepticism. This is the result of that and of all his previous anti-vax promotion. And this is not even a vax!
New JAMA study out today: In 5.2 million US babies: the % skipping vit K shot at birth more than doubled since 2017. And babies who skipped it had >2x the risk of a brain bleed. Vitamin K is not a vaccine. It is a vitamin babies are in low in at birth. One shot saves lives.
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