Episode 36

Queen of Hearts Vs. Physicians | OMIs To Find LAD Occlusions

The JournalFeed podcast for the week of Sept 1-5, 2025.

These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.

Tuesday Spoon Feed:

The Queen of Hearts AI (QoH AI) model beat both emergency physicians (EPs) and cardiologists at deciding who needs immediate catheterization for certain STEMI-equivalents and STEMI-mimics—88.9% accuracy vs. ~66%—promising fewer missed occlusion myocardial infarctions (OMIs) and fewer unnecessary activations.


Wednesday Spoon Feed:

Reliance on STEMI criteria alone misses a substantial proportion of LAD occlusions, while expert and AI ECG interpretation achieved earlier and more accurate detection, with 100% sensitivity for LAD occlusion MI in this study.

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About your hosts

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Nicholas Zelt

The voice behind the mic! I'm an emergency medicine resident with a real nerdy love for podcasts and evidence based medicine. Joined the JournalFeed team way back in the before times (pre-COVID).
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Clay Smith

Hi! I've been practicing emergency medicine for over 20 years and started JournalFeed. I'm the Chief Spoon-Feeder, which means I either write or edit everything that's posted on the JournalFeed blog. But Nick totally runs the show with the podcast!