EM Prof at Hennepin. Co-originator of #OcclusionMI (OMI) paradigm, ECG diagnosis of OMI, trained @PMcardioApp. scholar.google.com/citations…#ECG

Joined June 2011
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Introducing Dr. Smith’s ECG Blog 2.0! The world’s #1 ECG Blog now features: - smarter search (try “HATW in aVL”) - email newsletter for new posts Join over 200,000 monthly readers on our brand-new custom domain!
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Stephen W. Smith retweeted
Dems have been looking for their message for years, and @AnnieAndrewsMD just did it (in under two minutes). Take note 📝
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For medical information, general AI frontier models (Google, OpenAI, Anthropic) outperformed specialized @EvidenceOpen and @UpToDate as assessed by 12 US clinicians, randomized and blinded to which model and extensive testing/benchmarks. This was not anticipated. @NatureMedicine nature.com/articles/s41591-0…
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A 60s year-old man with neck and shoulder pain, no chest pain. drsmithsecgblog.com/a-60s-ye… @PendellM @PMcardioApp
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Elon Musk, Human Ponzi Scheme And if you own index funds, you are forced to buy into it! (Because they changed the rules for Musk) open.substack.com/pub/paulkr…

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Full text with all ECGs here
New article in @JElectrocardiol by @willyhfrick The illusion of simplicity: Diagnostic inconsistencies within the STEMI paradigm doi.org/10.1016/j.jelectroca…
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New article in @JElectrocardiol by @willyhfrick The illusion of simplicity: Diagnostic inconsistencies within the STEMI paradigm doi.org/10.1016/j.jelectroca…

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Stephen W. Smith retweeted
In case you forgot what it looks like when a real president gets the love at a game. You know, when the crowd actually wants the president there.
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Syncope in a healthy person drsmithsecgblog.com/syncope-…
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This is the most common scenario. A non-diagnostic ECG usually means the interpreter is non-diagnostic, not the ECG.
Replying to @Ausbones
The ECG is very likely NOT normal.
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This is a Trump appeals court judicial appointee. Typical MAGA behavior even from a judge. Police: Idaho Falls federal judge knocked off man's glasses, hurled them across parking lot and stomped on them during confrontation idahostatejournal.com/judge-…
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The American Diabetes Association sensors its scientists to help the Trump administration. Unbelievable! Collaborators with the regime!
🚨🗣️⬇️BREAKING: Members of @AmDiabetesAssn were escorted by police out of the convention center in New Orleans during the organization's annual meeting on Friday as they handed out copies of an editorial criticizing Trump administration changes to U.S. biomedical research.
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Stephen W. Smith retweeted
If there was any doubt before, there can be none after this week: The Supreme Court is going to give states free rein to discriminate against minority voters — even in some of the most egregious cases. democracydocket.com/news-ale…
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And Minnesota supports the federal government even more still.
Try again. California pays the bills for failed red states.
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Is the ECG for this case available? Is any part of the case available?
Replying to @Ausbones
In the past, it was safe to assume that the ECG was normal in addition to other normal labs/imaging. Now we know that in the vast majority of cases, the ECG was *NOT* normal — it was read by people who couldn't recognise acute occlusion signs.
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Replying to @Ausbones
In the past, it was safe to assume that the ECG was normal in addition to other normal labs/imaging. Now we know that in the vast majority of cases, the ECG was *NOT* normal — it was read by people who couldn't recognise acute occlusion signs.
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Stephen W. Smith retweeted
“A mythomaniac is a clinical and literary term for an extreme pathological liar. It describes someone whose lies are grand, deeply embedded in their identity, and told with complete, unbenched confidence.”

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Stephen W. Smith retweeted
The closure of @USAID by 20-something DOGE bros (who probably thought "screwworm" was a hilarious joke) will haunt us for years to come.
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Stephen W. Smith retweeted
This is really stupid, and it’s not getting enough attention. The Trump administration is pulling a working $368 million ocean monitoring system out of the water, equipment taxpayers already bought, built, and sank into the deep ocean. And they are doing it right when the oceans are behaving in ways that alarm the scientists who study them. Record-breaking temperatures. A system of Atlantic currents that may be lurching toward collapse. The response? Yank out the instruments and walk away. That is not budgeting. That is smashing the gauges while the engine is on fire and calling it efficiency. For what? The Trump administration dressed it up as a “nimbler approach” and “smart lifecycle management,” which is fancy nonsense for “we shut it off and hoped nobody would ask why.” There is no return-on-investment analysis. They cannot show taxpayers save a dime, because the gear is already paid for and the science it produces protects real money and real lives. The kicker: the same people killing the monitors want to mine the deep sea for minerals. So they are destroying the only tools that could measure what that mining does. That is not an accident. That is the point. You cannot see the damage if you break the instruments first. cnn.com/2026/06/03/climate/o…
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Stephen W. Smith retweeted
Ossoff: Last September, the President of Kazakhstan calls Donald Trump and says he wants to grant tungsten mining rights to an American company. And the very next month, Eric and Don Jr. get a stake in the American company pursuing the mining deal. Six days later, six days after Prince Eric and Prince Don get their stake, Kazakhstan announces this company will get, “The largest known undeveloped tungsten resource in the world.” A few more weeks go by, and then the U.S. government, run by their father, sets aside 1.6 billion of your tax dollars to fund and finance their mining project. In Kazakhstan. All this while you pay more for gas, for groceries, for health care, and that's just the tip of the iceberg.
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