By Introducing CineECG Demonstrator ECG Excellence provides a free downloadable interactive view on how 12 lead ECG interpretation can be so much easier and delivering better results.  Much needed since over the past 110 years 12 lead ECG waveform interpretation has remained a major challenge for both Healthcare practitioners and even ECG experts. Recent meta studies have indicated the struggle to correctly interpret an ECG output is there between all kind of expertise levels. And learning to become an expert requires many thousands ECGs to assess. Much more hours than the average heal ..read more

Page 1 shows all the results of the CineECG analyis. Details regarding the results of the ECG waveform comparisons for both the ventricles and atria can be found on pages 2 & 3 for the ventricles and page 4 (atria) The report shows the patient information as contained in the received ECG data set. The gender indication is used to select a normal distribution category which is used in the CineECG analysis process. Within the selection process three categories are used: Male, Female or Unknown corresponding with the gender indication in the data provided in the ECG data set. The report ..read more

In a recent podcast from Mayo Clinic Cardiovascular services the focus was on Artificial Intelligence and especially the challenges in AI based ECG interpretation. In this podcast (click on the link for the full podcast) Dr. Anthony Kashou MD talks with Doctors Gari Clifford and Reza Sameni. Both are AI and ECG experts and work at the Emori University (Atlanta, Georgia USA). In their discussion  major challenges for making the use of AI effective in ECG interpretation are explored. A most interesting topic since the medtech world is buzzing with AI and cardiology is no exception. In th ..read more

Ever since the 12 lead ECG was introduced in the medical domain a key question is how to ensure anyone can interpret 12-lead ECG. With anyone we mean of course medical professionals but over the decades 12 lead ECG interpretation has remained a major challenge. Just imaging you have to read and interpret a set of 12 graphs each representing a different view on the heart during an activation and recovery cycle to understand what’s going on. And the ECG output is, despite that that the ECG data recording has converted to digital, more or less analog in nature. 2D graphs on paper, that’s almos ..read more

After reading the results of recent revealing study regarding the expertise in ECG Interpretation by a Mayo clinic team, the conclusion is again clear: ECG interpretation should and can improve. In this study which was conducted and evaluated by leading ECG experts such as Anthony Kashou, Steven Smith, David Albert (and many other)s the level of competence for reading and interpreting 12 lead ECG data was analysed. For the study 30 patient cases (urgent and non-urgent mix) were selected and the standard 12-lead ECG data was presented to a international group of medical professionals from di ..read more

Recently I came across an article which highlights the lack of attention for heart diseases. In 2019 the “our world of data” initiative published the results of a comparison study regarding the the reasons for death in the USA in the years before the pandemic hit the world. The article, written by Hanah Ritchie has the title: Does the news reflect what we die from? And you can read it here. In this study 4 different sources of data on causes of death were compared. The actual data as statistics published by the CDC in their public health database The results of Google searches (sourced fro ..read more

This week a true milestone is achieved for ECG Excellence. We are so proud of Machteld Boonstra being the very first to use CineECG in her public defence of the results of her academic PhD research on CineECG and the use of non-invasive inverse ECG techniques in Cardiomyopathy.   Over the past years Machteld has worked in UMCU on delivering both the conceptual, technical and clinical validation of CIneECG and her findings have been published in leading cardiology journals. We also want to thank her promoters Professor Folkert Asselberg, Dr. Peter Loh and Dr. Peter van Dam for supporti ..read more

Improving CRT response in heart failure patients is another CineECG feature. Next to the HRS 2023 presentation regarding the added value of CineECG in identifying  the origin of atrial ectopic activity (see our previous blog) last week’s conference in New Orleans also became a platform for presenting another clinical added value option of CineECG. In this blog we focus on the results of Tanmay Gokhale, Salah Al-zaiti and Samir F. Saba, all working at the University of Pittsburg Medical Center (UPMC).  Their study focuses on improving the selection of CRT patients. Cardiac Resynchr ..read more

cineecg flow inferior wall infarct In this blog we will address a case of identifying a specific case of a heart infarct, in particular an infarct in the lower part of the heart (Inferior wall infarction ; RCA distal to the RV branch). In an earlier blog we focused on an extensive anterior wall infarction and the ease of using CineECG to read the related ECG. This distal RCA infarct happens when there’s a block or occlusion in a right coronary artery which supplies both the right ventricle but also the back side of the left ventricular septum, the wall separating the left and right chamber ..read more

classic ECG presentation of anterior wall infarction In this blog we will address a case of identifying a specific case of a heart infarct, in particular an infarct in the front part of the heart (Extensive anterior wall infarction). The infarct happens when there’s a blockage or occlusion in a main artery which supplies this part of the heart with blood. There are many places in the heart where such a blockade can occur and knowing the location as soon as possible is important because the location is an indicator of the severity and extension of the infarct. And thus the type and speed of t ..read more