The St.Emlyn’s Podcast

Ep 236 - Occlusive Myocardial Infarction, ECGs and AI with Steve Smith

Jul 9, 2024

Renowned ECG expert Steve Smith discusses occlusive myocardial infarction vs STEMI, the role of AI in ECG interpretation, and the limitations of ST elevation criteria. Explore the potential impact of AI technology in improving diagnostic accuracy and timely interventions for heart conditions.

27:39

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Episode guests

Steve Smith

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Episode notes

Podcast summary created with Snipd AI

Quick takeaways

Dr. Smith advocates for reclassifying acute coronary occlusions as OMI over STEMI for more accurate diagnosis.

Queen of Hearts AI algorithm by Dr. Smith shows superior OMI detection, enhancing early intervention and reducing false positives.

Deep dives

Challenging the STEMI Classification

Traditional STEMI and non-STEMI classifications are being reevaluated by Dr. Smith in favor of occlusive myocardial infarction (OMI) and non-occlusive myocardial infarction (NOMI). By introducing OMI as a new paradigm, Dr. Smith highlights the limitations of solely relying on ST elevation for acute coronary occlusion diagnosis and advocates for a more accurate approach based on his research findings and extensive experience with ECG interpretation.

Intro

4min

Limitations of ST Elevation in Identifying Occlusive Myocardial Infarction

6min

AI in ECG Pattern Recognition for OMI

4min

AI System Queen of Hearts for Recognizing Occlusive Myocardial Infarctions in ECGs

12min

Discussion about ECG analysis app PMCardio for rapid interpretation of cardiac conditions

2min

It was a huge pleasure to sit down with Steve Smith, a name synonymous with ECG expertise. Steve, renowned worldwide for his influential ECG blog, has been a pivotal figure in advancing our understanding of ECGs. Many of us have honed our ECG skills thanks to Steve’s insights. I had the opportunity to meet Steve about a decade ago at one of the SMACC conferences. Today, we delve into the fascinating world of occlusive myocardial infarction (OMI) and its comparison to STEMI (ST-elevation myocardial infarction), and explore the promising future of artificial intelligence in ECG interpretation.

In this special episode of the St Emlyn's podcast, we explore the concept of occlusive myocardial infarction (OMI) and its distinctions from ST elevation myocardial infarction (STEMI). Dr. Smith discusses his extensive work and experience in emergency medicine, spanning over three decades, and his development of Dr. Smith's ECG blog. The conversation dives into the limitations of traditional STEMI criteria and the benefits of adopting the OMI paradigm. Additionally, they discuss the revolutionary potential of artificial intelligence in ECG interpretation, particularly through the Queen of Hearts program developed in collaboration with Powerful Medical. Dr. Smith shares compelling studies and real-world applications demonstrating the efficacy of AI in diagnosing ECGs, ultimately offering a promising future for enhanced patient outcomes.

00:00 Introduction

01:43 Steve Smith's Journey in Emergency Medicine and ECGs

02:45 The Evolution of ECG Diagnosis: From STEMI to OMI

03:55 Challenges and Resistance to the OMI Paradigm

07:10 Key Indicators of Occlusive Myocardial Infarction

09:25 The Role of Artificial Intelligence in ECG Diagnosis

11:03 Development and Implementation of the Queen of Hearts AI

14:28 Clinical Studies and Real-World Applications

21:10 Future Prospects and Final Thoughts

A comprehensive blog post with references is available here

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The St.Emlyn’s Podcast

Ep 236 - Occlusive Myocardial Infarction, ECGs and AI with Steve Smith

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Challenging the STEMI Classification

AI in ECG Analysis

Implementation and Future Prospects

Remember Everything You Learn from Podcasts