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A middle-aged woman with chest pain and a "normal" ECG in triage

Dr. Smith's ECG Blog

This was sent to me by a former resident from a community hospital: A middle-aged woman complained of chest pain and was seen in triage. So things will get better as technology advances. She had a ECG recorded. The computer interpreted the ECG (GE Marquette 12 SL) as: "Sinus Bradycardia. Normal ECG."

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Siemens Healthineers Announces FDA Clearance of Somatom Pro.Pulse Dual-Source CT Scanner

DAIC

The scanner combines the power and speed of dual-source CT technology—two X-ray tubes and two detectors—with embedded artificial intelligence and user assistance features to deliver workflow efficiencies. The optional FAST ( Fully Assisting Scanner Technologies ) 3D camera automatically performs precise, consistent patient positioning.

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A 50-something with chest pain. what to do? And get the PM Cardio app for your own use here!

Dr. Smith's ECG Blog

It is from a 50-something with chest pain: What do you think? Up until recently — all computerized ECG interpretation programs that I am aware of used standard millimeter-based STEMI critieria as the basis for determining which chest pain patients should "qualify" for prompt cath with PCI. This was sent to me by a friend.

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Robust Diagnostic Accuracy and Prognostic Utility in Analyses from Large Scale Clinical Trials

DAIC

The study describes the validation of Cleerly's artificial intelligence-guided quantitative coronary CT angiography (AI-QCT) ISCHEMIA technology for diagnostic accuracy and prognostic risk stratification. JACC Cardiovasc Imaging. 2024 Feb 29:S1936-878X(24)00039-1. doi: 10.1016/j.jcmg.2024.01.007. 2024.01.007. Epub ahead of print. Circulation.

Ischemia 110
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HeartFlow Achieves Landmark Milestone of 250,000 Patients Assessed for Coronary Artery Disease (CAD) with FFRCT Analysis

DAIC

With more than 500 peer-reviewed publications, the HeartFlow FFR CT Analysis remains unparalleled in precision coronary care, as supported by the ACC/AHA Chest Pain Guidelines, to improve treatment plans and outcomes. 2021 ACC/AHA Chest Pain Guidelines. For more information: www.heartflow.com References 1. Yokota, et al.

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This ECG was handed over at triage. See how the Queen of Hearts AI does with these explainability images.

Dr. Smith's ECG Blog

As noticed by the AI, if the patient presented with chest pain , then even this subtle ECG is diagnostic of OMI. The AI Bot, however, didn’t miss it, and demonstrates how critical this technology is for high quality care. What do you think?

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Drugless and radiographer led: the start of a new era for CT coronary angiography

Open Heart

However, CT technology has improved rapidly as has radiographer and reporter expertise. Six months of data were collected; stable chest pain (SCP) patients, who have national CTCA QC comparators, were analysed using descriptive statistics. Uncertain CAD-RADS meant a non-diagnostic scan (NDS).