Robert Herman, MD @RobertHermanMD
#AI Deep learning Electrocardiogram! 🫀Cardiovascular Researcher @CardioAalst | PhD @UninaIT | Co-Founder 👑 Queen of Hearts & @PMcardioApp | #ECG #FOAMed linktr.ee/robertherman Vienna, Austria Joined July 2011-
Tweets4K
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Followers11K
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Following433
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Likes8K
Two prehospital ECGs of patients with chest pain. hqmeded-ecg.blogspot.com/2024/04/two-pr… @PendellM @PMcardioApp
Take the OMI Quiz and Test yourself against the Queen of Hearts Go to the blog post for the link to the Quiz: hqmeded-ecg.blogspot.com/2024/04/take-o… Here is the first of the 27 EKGs in the Quiz
#ECG of a 65M presenting with chest pain and shortness of breath? I had different theories on three seperate occasions throughout the day.
Called by an outlying ED at night for this #EKG of a 32F. Cath lab or no? I was curious and it was my first time to use @PMcardioApp to see what it says as well. @RobertHermanMD @EM_RESUS @smithECGBlog
@andreaskardio @MergencyFe @ecgandrhythmRoe @kardiolancerin @RobertHermanMD QoH knows the answer: OMI ⚠️ with high Level of confidence Inferoposterior OMI @smithECGBlog @PendellM @RobertHermanMD @PMcardioApp @The_Nanashi_O @willyhfrick @BrooksWalsh @EcgOxford
@JoySanyal74 @RobertHermanMD @Vadeboncoeur_Al @willyhfrick @PendellM @The_Nanashi_O @DidlakeDW @ecgandrhythmRoe @ecgrhythms @ECGfan @ECGcases NSTEMI is a meaningless diagnosis. This is an OMI. The artery is occluded and the myocardium is dying. It needs emergent Cath Lab activation and intervention.
I'm happy that only 64 (10%) of followers and the ECG machine would delay care in this very obvious patient with acute coronary occlusion! Keep in mind that my followers are just one well-calibrated segment of all providers who care for chest pain patients.
I'm happy that only 64 (10%) of followers and the ECG machine would delay care in this very obvious patient with acute coronary occlusion! Keep in mind that my followers are just one well-calibrated segment of all providers who care for chest pain patients. https://t.co/MrUJZwUGyO
Never. Trust. The computer.
66F, epigastric pain no risk factors. Can there be acute coronary occlusion - without ANY ST-elevation? Let's have a poll this time - vote below and comment your interpretation & next steps after seeing this #ECG!
@docib The queen of Hart PMcardio AI app agrees.
Asking for posterior leads to confirm the diagnosis here is like failing to recognize the tiger until the final 🧩 is added to the puzzle.
Asking for posterior leads to confirm the diagnosis here is like failing to recognize the tiger until the final 🧩 is added to the puzzle. https://t.co/NndDzL4dip
Dr Joshua Walinjom @walinjom
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182 Followers 325 Following 👨🏻⚕️Heart Doc-#Cardiologist🫀| Passionate ❤️ #HomeChef 👨🏻🍳- Evan’s Kitchen 🍽| #Hubby👩🏻❤️💋👨🏻 & #Dad 👨👦👦| ⛪️ #POCUS #HeartFailureSpecialistTwo prehospital ECGs of patients with chest pain. hqmeded-ecg.blogspot.com/2024/04/two-pr… @PendellM @PMcardioApp
An honor to be presenting at the Cook County annual Research day. Congratulations to my fellow colleagues for also presenting their great work! @RohanGajjar96 @AneezaJamshed @SeanDeAngelo2 @thebadriaryal. @etamattey @CookCountyIMR
Chest pain and ST elevation, in sequence @RobertHermanMD @smithECGBlog @EM_RESUS @BrooksWalsh @DidlakeDW
🚑 Join @RobertHermanMD @smithECGBlog & @PendellM at the #EmergencyCareConsultants Annual Education Conference for a talk on the OMI paradigm & how our AI-powered ECG interpretation platform #PMcardio is transforming cardiac diagnostics! 🗓️ 29 Apr 24, 11:15 AM 📍Minneapolis, MN
Take the OMI Quiz and Test yourself against the Queen of Hearts Go to the blog post for the link to the Quiz: hqmeded-ecg.blogspot.com/2024/04/take-o… Here is the first of the 27 EKGs in the Quiz
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Recharged playing soccer with amazing city views. A sedentary lifestyle can slow you down even mentally. Do something that lifts you out of that grueling routine and prepares you for the next week.Also hope liverpool can still somehow win the league😅 #MedTwitter #PremierLeague
Excellent presentation by our future chief Ninos on how to identify VT. This was our third session of County Cardiology Resident Lecture series and a big success! As always much gratitude to @vardar_md @iCardiolgist_XS @dennisdkumiMD for supporting this endeavor. #CardioTwitter
Some Key things to look out for
“An interesting EKG of a 64-year-old male presenting with chest pain. Think it’s only STE that indicates acute coronary occlusion ? Think again. 30% of occlusions are missed by the STEMI paradigm #ecg #cardiotwitter #foamed #Cardiology @smithECGBlog @EM_RESUS @ShariqShamimMD
@RobertHermanMD @smithECGBlog @PendellM @ecgandrhythmRoe @cardio73 @ECGfan @Vadeboncoeur_Al @ShariqShamimMD @EM_RESUS @ecgrhythms @Basalus My theories are…👇 ①AT with 3:1 AVB➡Sinus arrest ②Hyper acute TW in lead V2〜4 ➥Acute anterior OMI, LAD occlusion, the cause of chest pain ③LAFB Very interesting ECG🧐🧐🧐
@RobertHermanMD @smithECGBlog @PendellM @ecgandrhythmRoe @cardio73 @ECGfan @Vadeboncoeur_Al @ShariqShamimMD @EM_RESUS @ecgrhythms @Basalus I don't think I'd have time to have a day of different theories. Unless I have an old EKG this is identical to, with CP and SOB, I should be trying to prove or exclude an anterior MI in the cath lab, no?
@RobertHermanMD @smithECGBlog @PendellM @ecgandrhythmRoe @cardio73 @ECGfan @Vadeboncoeur_Al @ShariqShamimMD @EM_RESUS @ecgrhythms @Basalus This one is really tough! From an EMS perspective, I would err on the side of caution and activate the cath lab.
@9viewpoint @smithECGBlog @DrQuinnCapers4 @RobertHermanMD @PMcardioApp @EM_RESUS Normal coronaries. Hypertrophic cardiomyopathy.
@RobertHermanMD @smithECGBlog @PendellM @ecgandrhythmRoe @cardio73 @ECGfan @Vadeboncoeur_Al @ShariqShamimMD @EM_RESUS @ecgrhythms @Basalus I think this is harder for me because there does appear to be RVH. However, the R wave in V2 is small and doesn't progress with the precordials. It also has a large HA T wave. This with a diminishing R wave in V5-V6 suggests LAD occlusion. OMI low confidence
@RobertHermanMD Based on the Gertsch et al criteria of LVH in LAFB (S3 + R+S max precordia >=30 mm), there is LVH. I'm not so sure what to make with V2. With addl RF that ⬆️ risk then might ❤️ on the ACS direction.