‘They’re Taking’ our Jobs’ – AI in Emergency Medicine with Dr. Henry Pitzele (ACEP Frontline, by Dr. Ryan Stanton)
In this episode of ACEP Frontline, Dr. Henry Pitzele explains how PMcardio’s Queen of Hearts™ AI is transforming ECG interpretation in emergency medicine. Unlike traditional ECG software, the AI consistently outperforms even groups of cardiologists, catching subtle heart attacks and improving triage decisions when seconds matter most.
About the Podcast
ACEP Frontline is the official podcast of the American College of Emergency Physicians, hosted by Dr. Ryan Stanton. It features leading voices in emergency medicine discussing innovations, challenges, and real-world clinical practice. In this episode, Dr. Henry Pitzele explores how AI is reshaping emergency care.
Summary of the Episode
In the segment on AI and ECGs, Dr. Pitzele highlights how traditional ECG machine software has long been unreliable for emergency physicians, often mislabeling massive heart attacks as benign or vice versa. He introduces PMcardio’s Queen of Hearts™ AI, which emergency physicians now use on the front line by simply snapping a photo of an ECG.
- Unlike legacy machine interpretations, PMcardio’s AI has been validated in studies to outperform even consensus groups of cardiologists.
- The AI can not only detect STEMI and subtle STEMI Equivalents with high accuracy but also assess pump function (left ventricular ejection fraction) directly from ECGs — a task traditionally requiring echocardiography.
- This advancement is improving patient triage by reducing false positives, catching subtle occlusions, and accelerating time-critical cath lab activations.
“AI actually has solved the problem of how to figure out if a patient is having a massive heart attack. PMcardio’s Queen of Hearts is so accurate it outperforms groups of cardiologists — and it’s changing how we care for heart attack patients.”
— Dr. Henry Pitzele, ACEP Frontline
🎧 Listen to the episode: Spotify | Apple Podcasts | Soundcloud
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About PMcardio
PMcardio is a CE-marked Class IIb AI medical device that interprets any 12-lead ECG — from a photo or a digital file — in seconds. It detects 50+ ECG findings, including occlusion myocardial infarction (OMI) — the acute coronary occlusions that conventional STEMI criteria miss in over half of cases. Its Queen of Hearts™ OMI model holds FDA Breakthrough Device Designation, and PMcardio is already used by 100,000+ clinicians who have analyzed more than 2.5 million ECGs.
About Powerful Medical
Powerful Medical is a medical-technology company using artificial intelligence to transform how cardiovascular disease — the world’s leading cause of death — is diagnosed. Founded in 2017, it built PMcardio, the world’s first AI medical device to detect acute coronary occlusion (OMI) from an ECG. Its research is published in the European Heart Journal – Digital Health and validated across 25+ clinical studies, and its Queen of Hearts™ model earned FDA Breakthrough Device Designation. To date, PMcardio has supported the detection of 120,000+ heart attacks across 150+ hospital deployments worldwide.
