@PendellM

Emergency Medicine Physician, Co-Editor of Dr. Smith's ECG Blog

 Charlotte, NC, USA
hqmeded-ecg.blogspot.com
Joined February 2015
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  • Followers6.3K
302Media
Pendell Meyers retweeted
Powerful Medical@PowerfulMedical13h
Average room accuracy: 60%. Spotting occlusion MI on an ECG is harder than it looks. 🫀
60% average room accuracy, over a photo of clinicians taking the quiz at the PMcardio booth.

ALT 60% average room accuracy, over a photo of clinicians taking the quiz at the PMcardio booth.

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“I’m good at this, but my colleagues could benefit from this AI.” A sentiment we often hear at conferences. Yet ECG quizzes and studies consistently reveal a gap between perceived and actual ability to recognize STEMI/OMI. Recognizing our own limitations takes humility.
Powerful Medical@PowerfulMedical13h
Replying to @PowerfulMedical
Average room accuracy: 60%. Spotting occlusion MI on an ECG is harder than it looks. 🫀
60% average room accuracy, over a photo of clinicians taking the quiz at the PMcardio booth.

ALT 60% average room accuracy, over a photo of clinicians taking the quiz at the PMcardio booth.

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Pendell Meyers retweeted
Powerful Medical@PowerfulMedical13h
On this case, 94% of respondents got it wrong. Activate or wait? Reply with your call. Answer coming in a follow-up post. 👇
12-lead ECG case: 94% of respondents got this case wrong. Activate or wait?

ALT 12-lead ECG case: 94% of respondents got this case wrong. Activate or wait?

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Pendell Meyers retweeted
Stephen W. Smith@smithECGBlog20h
Pneumonia, hypotension, and large RV on bedside ultrasound. How to avoid the right sided death spiral? drsmithsecgblog.com/pneumoni…
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Every minute matters when a coronary artery is occluded. 🫀 Meet the team behind Queen of Hearts™ at #TCT2026 for a live demo of AI-powered ECG analysis, now FDA De Novo authorized. 📍 San Diego | Booth #3125 📅 Oct 31 – Nov 3 #PMcardio #Cardiology
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37 years old male with chest pain What's the next step?
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Pendell Meyers retweeted
Stephen W. Smith@smithECGBlogOct 20
Acute pulmonary edema. Why? With a 2nd case also drsmithsecgblog.com/acute-pu… @PMcardioApp
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Pendell Meyers retweeted
JACC Journals@JACCJournalsOct 14
Among 1,198,544 pts in the #CathPCIRegistry, 15% w/ #NSTEMI had an acute coronary occlusion (ACO) w/ worse in-hospital outcomes than NSTEMI w/ no ACO (adj OR, 2.26) but better than #STEMI. ACO NSTEMI is high risk & warrants earlier recognition. #JACCINT bit.ly/3TGreki
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30 years old male with chest pain. Diagnosis?
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Pendell Meyers retweeted
Stephen W. Smith@smithECGBlogOct 15
50 something male with acute chest pain drsmithsecgblog.com/50-somet… @MagnusNossen @PMcardioApp
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Massive NCDR registry study showing that ~40,000 acute occlusion MI patients in the US face delayed care each year, with worse outcomes. We now have FDA-authorized AI capable of identifying these patients on their very first ECG. The opportunity to transform care is enormous.
JACC Journals@JACCJournalsOct 14
Among 1,198,544 pts in the #CathPCIRegistry, 15% w/ #NSTEMI had an acute coronary occlusion (ACO) w/ worse in-hospital outcomes than NSTEMI w/ no ACO (adj OR, 2.26) but better than #STEMI. ACO NSTEMI is high risk & warrants earlier recognition. #JACCINT bit.ly/3TGreki
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Pendell Meyers retweeted
Emre Aslanger@AslangerEOct 13
Pleased to share our DIFOCCULT-3 substudy in JACC: Cardiovascular Interventions. In 4,398 patients without diagnostic STE, OMI/NOMI triage doubled ACO identification within 2 h without reducing angiographic yield. pubmed.ncbi.nlm.nih.gov/4286…

Occlusion-Focused Triage vs Very-High-Risk NSTEMI Criteria: A DIFOCCULT-3 Substudy - PubMed

An occlusion-focused diagnostic approach was associated with substantially higher rates of immediate invasive management and earlier identification of patients with adjudicated ACO.

pubmed.ncbi.nlm.nih.gov
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Pendell Meyers retweeted
Robert Teskey@BobTeskeyOct 13
Replying to @DrMJMrBoh @PendellM @RobertHermanMD @smithECGBlog
Exactly… I remember scratching my head that a successfully ‘lysed “STEMI” became a non Q MI
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Pendell Meyers retweeted
Stephen W. Smith@smithECGBlogOct 13
3 feature articles and two Editorials on Occlusion Myocardial Infarction in the Journal of the American College of Cardiology cardiovascular interventions. See all of them on the front page of this issue here: jacc.org/toc/interventions/c… ,
Pendell Meyers@PendellMOct 13
If you had told me 5 years ago that this would be the front page of JACC CI, I'm not sure I would have believed you. My thanks to these colleagues for their work.
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If you had told me 5 years ago that this would be the front page of JACC CI, I'm not sure I would have believed you. My thanks to these colleagues for their work.
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Pendell Meyers retweeted
Stephen W. Smith@smithECGBlogOct 12
JACC: Card Interventions. 24.4%/886,000 NSTEMI (216,054 patients) had TIMI 0/1 flow and OR for cardiovascular death was 2.81 compared to open artery. sciencedirect.com/science/ar… @josenalencar and I wrote an editorial: shorturl.at/JbvkQ @PMcardioApp @PendellM @RobertHermanMD
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Pendell Meyers retweeted
Dr MJ, Mr Boh@DrMJMrBohOct 7
Replying to @Frances98392343
@Frances98392343 @Ecgloverr @ecgrhythms @ecgandrhythmRoe @smithECGBlog @PendellM 55y m smoker, 10/10 pain for an hour, came in by car
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Pendell Meyers retweeted
Powerful Medical@PowerfulMedicalOct 7
Read the full story: powerfulmedical.com/blog/rom…

Sant'Andrea Rebuilds STEMI Pathway Around AI

Sant'Andrea University Hospital in Rome sends AI ECG STEMI alerts to cardiology in a median under 17 seconds, screening 5,629 patients in six months.

powerfulmedical.com
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Pendell Meyers retweeted
Powerful Medical@PowerfulMedicalOct 7
From #ECG acquisition to #cardiology in seconds — with no manual step required. At Sant’Andrea University Hospital: → 5,629 ECGs analyzed → <17 sec median from alert to report opened → 94% within the 90-min door-to-balloon target #AI built into the pathway, not beside it.
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Queen of Hearts’ FDA approval was the #1 most-read story in September on TCTMD, one of the leading interventional cardiology resources!
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