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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35 yo male presents with crushing chest pain. What do you think ? ECG courtesy of @yasermd96
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Tough one, but need to do angiogram for sure
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25 years old male with palpitations. What’s the rhythm?
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Prof, I don’t see the other P waves. I see 1:1 conduction
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I think the upright atrial activity in V1 is inside the T wave. In lead II, I believe I can see flutter waves beneath the QRS.
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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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Well, she had to wait for the troponin results before undergoing coronary angiography. A critical stenosis was found in the mid-LAD.
A 61-year-old woman presents with a one-day history of mild burning chest pain. What are your thoughts on her ECG?
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Please post the entire ECG! You cut off the bottom.
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67 year old man. Chest pain. Would you activate the cath lab?
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Prof, I tried right away yesterday, but after answering the 30th question, I clicked 'Submit' and the 'Please wait' message stayed on the screen for over 30 minutes without showing me the result 🤷I'll try again today.
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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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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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Great! I just wanted to bring to your attention a small oversight: Israel is missing from the list of countries.
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Thank you! We will fix that.
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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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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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Where is the lesion based on this ECG? 😁
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Tried it that night on an athletic patient, 60yo male with no history of anything, but dislipidemia in the last year Having a chest uncomfort 30’ prior to hospita, I found nothing QoH found 98% stemi, and an 74% LCX occlusion Referred it to heart center stat, and pPCI it is
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