Cardiac EP Fellow at Texas Heart Institute. Founder of ReCODE Medical (@ReCODEMedical). Using AI to Drive Clinical Innovation

Joined September 2011
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Medicine lost one of its greats this week. My grandpa, Dr. William (Bill) Segar, had an illustrious career that spanned nearly 60 years from @IUMedSchool and @RileyChildrens, @YaleMed, @MayoClinicCV, and @uwsmph and @WiscPediatrics.
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Been an exciting journey! Even more excited for what’s next.
We’ve been acquired!
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Matt Segar retweeted
We’ve been acquired!
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Can standard ECGs flag aortic stenosis years earlier and predict higher mortality post-TAVR? Yes. 🫀 @CardioCareToday highlighted groundbreaking research by Dr. @MattSegar (@Texas_Heart). At AccurKardia, our investigational AK-AVS pipeline is turning the standard ECG into a powerful, predictive biomarker for structural heart disease. Check the interview: cardiocaretoday.com/post/ai-… #AorticStenosis #TAVR #HealthTech #Cardiology #MedTech #AI #BetterOutcomes
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On the standards of reporting of P-wave abnormalities in electrocardiographic studies heartrhythmjournal.com/artic…

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Electrocardiographic P-wave Parameters and Lifetime Atrial Fibrillation Risk: A Multi-Cohort Study @MattSegar heartrhythmjournal.com/artic…
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New peer-reviewed evidence for AI-ECG in aortic stenosis. Big thanks to Dr. @MattSegar and the Texas Heart Institute team for leading this work. academic.oup.com/ehjdh/advan… AK-AVS is investigational and not FDA-cleared.
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Matt Segar retweeted
POLY-HF trial: Polypill containing metoprolol, spironolactone, and empagliflozin improved EF, QoL, and adherence, and reduced HF hospitalizations at 6 months in HFrEF patients compared to usual care. #AHA25 View the slides here: clinicaltrialresults.org/wp-…
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Never doubted ourselves.
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28 Sep 2025
Interesting case with PMCardio - Queen of Hearts. On call today and paged to ED for chest pain. ECG looked completely “benign”. Clinical story suggested an ACS event. We decided to take him to the Cath lab anyways, but used the app to see if I missed anything. QoH noted a STEMI equivalent. Patient ended up having a LCx occlusion. Ended up buying a subscription to the app for that alone. @PowerfulMedical @MartinHerman_ @RobertHermanMD
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26 Sep 2025
I experienced my first AI scribe hallucination today. What I said: "Heart rate 71 bpm" What the AI documented: "Electrocardiogram: Normal sinus rhythm" No ECG was performed. The AI scribe extrapolated from basic vital sign data and generated documentation for a procedure that never occurred. Remember, AI scribes are powerful tools, but they're not infallible. They can (and will) "hallucinate" by creating plausible-sounding but completely fictional content. We cannot delegate our professional responsibility to validate documentation. The technology is impressive, but physician oversight remains non-negotiable. Has anyone else experienced this?
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Matt Segar retweeted
AccurKardia launches clinical pilot for AK Guard. Three arm study, 150 patients across care settings. AI hyperkalemia risk from Lead I ECGs, works with FDA cleared wearables. Details: businesswire.com/news/home/2… (Investigational, not FDA cleared.)
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First time I've ever seen vibe coding used in the Methods section of a medical conference abstract.
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See you at #ESCCongress 2025 (Madrid, Aug 29–Sep 1)! Join Dr. @MattSegar ’s research using AK-AVS™. Details: lnkd.in/ekKznvMV Meet us: info@accurkardia.com (AK-AVS™ investigational) #ESCCongress #WCCardio
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Love the new @JACCJournals style refresh, but the mix of skeuomorphic and flat icon styles sticks out like Comic Sans in a résumé.
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🎉 MAJOR UPDATE: ReCODE Chat now supports ALL medical specialties! From cardiology to orthopedics, dermatology to gastroenterology—our AI coding assistant has expanded to serve the entire medical community. 🧵 1/3
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We’ve spent a lot of time updating this to work with all medical specialties. Please retweet and share. Completely free to use. Just create an account here: chat.recodemedical.com Lots of exciting updates to come!

🎉 MAJOR UPDATE: ReCODE Chat now supports ALL medical specialties! From cardiology to orthopedics, dermatology to gastroenterology—our AI coding assistant has expanded to serve the entire medical community. 🧵 1/3
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29 Jul 2025
Tried @doximity new AI Scribe in clinic yesterday (launched a few days ago). My workflow: record outside patient room during prep, get consent, continue recording throughout encounter. Overall I’m incredibly impressed. I could focus entirely on patient while AI captured everything. As a proceduralist, this is huge for risk-benefit discussions. Instead of frantically documenting while explaining ablation risks, I can engage fully with patient questions. AI captures every detail accurately. Created a cardiology template that structures notes perfectly including dedicated procedural risk/benefit sections. Full experience template: segar.me/blog/posts/doximity…
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