Felix Bauer

We built an AI that reads ECGs!🫀Chief Operating Officer @powerfulmedical

[Felix Bauer @ffxbauer]

Come and meet us in Munich at #ESC2026 at Booth DH2 to see what transforming cardiac care pathways looks like! 🥨 🇩🇪

[Powerful Medical @PowerfulMedical]

What happens when AI transforms cardiac care pathways? ⚡

At #ESC2026, we are bringing new clinical evidence, real-world results from European health systems, and #PMcardio live.

🇩🇪 Munich | 28–31 Aug
📍 Digital Health Area | Booth DH2
Meet us there 👇

[Powerful Medical @PowerfulMedical]

🚑 STEMI/OMI Pathway 2025 in Review at AZORG!

In 2025, @PMcardioApp helped AZORG reduce door-to-balloon times by 48 minutes and accelerate treatment for STEMI-equivalent patients by up to 6 hours, with 377 clinicians using the platform each month.

#PMcardio #STEMI

[Powerful Medical @PowerfulMedical]

Six hospitals. One region. One AI pathway.
AZORG (Belgium) rebuilt acute cardiac care with #PMcardio — an ambulance ECG reaches the cardiologist before the patient arrives.

One year: 32,000+ ECGs, 350+ monthly clinicians, guideline adherence up 50%+.

https://t.co/rJBG1gRqWu

[Stephen W. Smith @smithECGBlog]

@PMcardioApp with queen of hearts, saves AZORG system 48 minutes of door to balloon time in STEMI and 6 hours in STEMI equivalent. Much better treatment for occlusion myocardial infarction. The best OMI/NOMI care.

[Stephen W. Smith @smithECGBlog]

Can the Queen of Hearts @PMcardioApp improve diagnostic accuracy for OMI in the difficult subset of canceled catheterization lab activations?

17 cases w true OMI (TIMI 0/1 flow) were falsely canceled by the interventionist.

The queen of hearts accurately identified 16 of 17 as OMI. Specificity 73%.

@PendellM

https://t.co/ClNgIyh6C4

[Robert Herman, MD, PhD @RobertHermanMD]

Two key limitations:

1/ No “call-offs” included, despite being major workflow disruptions. AI has been shown to reduce ~90% of these.

2/ Did not include the index ECG, just the “diagnostic ECG”, often the last ECG after symptom-driven activation.

[Robert Herman, MD, PhD @RobertHermanMD]

Missed STEMIs (NSTEMI-OMIs) have ~7.8% in-hospital mortality.

That’s higher than than the 1-year mortality after STEMI managed in time.

Time is muscle, regardless of ECG criteria. We now have tools to detect a significant proportion of these earlier at acceptable PPV!

[Stephen W. Smith @smithECGBlog]

Minneapolis Heart Institute level 1 STEMI system already activates the cath lab for STEMI-Equivalents which do not meet STEMI millimeter criteria. See here: https://t.co/qX9XqKbuHk

129 very difficult OMI cases remained, all missed at initial evaluation due to "non-diagnostic" ECG.

@PMcardioApp Queen of Hearts AI Model detected 58% of them with high specificity.

Save myocardium. @yadersandoval

https://t.co/QuLwFNVWZN

[Stephen W. Smith @smithECGBlog]

Occlusion MI (OMI-NOMI) is now the acknowledged next step at the American College of Cardiology meeting

[JACC Journals @JACCJournals]

#JACCINT honors Dr. Robert Herman with the Spencer King Award for Outstanding Scholarship for his innovative research, "#AI-Enabled ECG Analysis Improves Diagnostic Accuracy & Reduces False #STEMI Activations" 🎉 https://t.co/SZpTwTSfO2 #ACC26 #TheFaceOfCardiology @RobertHermanMD

[Robert Herman, MD, PhD @RobertHermanMD]

Digitalizing health care. One fax machine and scanner at a time…

@PMcardioApp

[Felix Bauer @ffxbauer]

Mit @PMcardioApp kommt Digitalisierung jetzt auch ins deutsche Gesundheitssystem! 🇩🇪
Egal ob digital oder per... ähm.... Fax📠 - #PMcardio interpretiert jedes EKG! 😉
@BMG_Bund @ninawarken

[Robert Herman, MD, PhD @RobertHermanMD]

Digitalizing health care. One fax machine and scanner at a time…

@PMcardioApp

[Stephen W. Smith @smithECGBlog]

See what happens when #ThePitt meets the Queen of Hearts.

This EKG was shown on the Pitt and interpreted as negative. But we caught it and put it through the queen. She of course diagnosed the OMI perfectly.

[Felix Bauer @ffxbauer]

@HBO, next season of #ThePitt featuring #QueenoOfHearts?
@PMcardioApp @PowerfulMedical @RobertHermanMD @StreamOnMax

[Robert Herman, MD, PhD @RobertHermanMD]

What happens when you don’t trust your interns, or the Queen of Hearts?

#thepitt

[Robert Herman, MD, PhD @RobertHermanMD]

What happens when you don’t trust your interns, or the Queen of Hearts?

#thepitt

[Stephen W. Smith @smithECGBlog]

AI-Enabled ECG Analysis Improves Diagnostic Accuracy and Reduces False STEMI Activations: A Multicenter U.S. Registry.

JACC Cardiovascular Interventions.

https://t.co/IfIwTxXPv5

The @PMcardioApp Queen of Hearts Reigns.

[Stephen W. Smith @smithECGBlog]

Congratulations to Powerful Medical for winning the 2025 MedTech Innovator Mid-Stage Grand Prize, earning $200,000 in funding for their impactful AI-driven cardiac diagnostics platform.

https://t.co/smMCbwPoJY

https://t.co/XEJZegPJzy

⁦@PMcardioApp⁩

[Robert Herman, MD, PhD @RobertHermanMD]

Great discussions on AI implementation at the #ESC Digital & AI Summit in Berlin.

Proud to share the impact @PowerfulMedical is making in the detection and management of acute heart attacks!

[Robert Herman, MD, PhD @RobertHermanMD]

First peer-reviewed study showing performance of Queen of Hearts #AI ECG detecting Acute Coronary Occlusion in 97 post-ROSC patients!

Great independent work by @jkulinz

[Robert Herman, MD, PhD @RobertHermanMD]

Tune in to @OPCILive for a journal club discussion of our recent #TCT2025 late breaker and @JACCJournals publication about AI ECG transforming U.S. #STEMI care!