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How RPM Can Reduce AI ’s Bias Problem & Improve Health Equity
The following is a guest article by Arnaud Rosier, PhD, Founder and CEO at Implicity Artificial intelligence (AI) is one of the most promising breakthrough technologies of the modern healthcare era, yet it also has the potential to be one of the most dangerous. AI algorithms that are trained on limited or poorly representative data sets can exhibit signs of bias in their results, skewing decision-making and possibly leading to ethnic, gender, and social discrimination and other unintentional consequences for the patients they serve. Unfortunately, research shows that bias is already creeping into the nascent field of AI an...
Source: EMR and HIPAA - May 19, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Analytics/Big Data Clinical Health IT Company Healthcare IT Telemedicine and Remote Monitoring Academic Medical Center Ai Algorithm AI bias AMC Arnaud Rosier PhD Artificial Intelligence Dr. Arnaud Rosier HCP Source Type: blogs

From stroke survivor to mental health advocate: one cardiologist ’ s journey to recovery PODCAST
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join us in this episode as we talk to Mike Campsey, an interventional cardiologist who shares his inspiring journey of resilience and recovery after suffering from a massive stroke. Hear his advice on what stroke victims and their families can do to cope with Read more… From stroke survivor to mental health advocate: one cardiologist’s journey to recovery [PODCAST] originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - May 18, 2023 Category: General Medicine Authors: Tags: Podcast Cardiology Neurology Source Type: blogs

How I overcame a heart attack and health challenges with the help of faith, family, and skilled doctors
I stood outside in my yard, which had been dormant during the winter season and was now awakening to the spring. Yard work was a familiar and enjoyable activity for me, one that I had been doing for years. But as I walked across the yard, I found myself out of breath and fatigued, to Read more… How I overcame a heart attack and health challenges with the help of faith, family, and skilled doctors originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - May 18, 2023 Category: General Medicine Authors: Tags: Conditions Cardiology Source Type: blogs

45 yo with jaw pain radiating to left shoulder for 6 hours
This case was provided by Steven Souchtchenko, a recent graduate of our Hennepin Healthcare EM/IM residency (i.e., a former trainee of mine).CaseA 45 yo man with no previous cardiac history presented to an ED not associated with a cath lab.  He complained of jaw pain radiating to left shoulder for 6 hours.  He stated he had had a brief similar episode the evening prior.Here is his ED ECG.What do you think?When this was shown to me I immediately said " Proximal LAD OMI " .  Then I ran it through theQueen of Hearts AI app and she said " OMI with high confidence " .I showed it to Pendell, who said: " Clear...
Source: Dr. Smith's ECG Blog - May 18, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

A man in his late 30s with acute chest pain and ST elevation
Sent by Dan Singer MD, written by Meyers, edits by SmithA man in his late 30s presented with acute chest pain and normal vitals except tachycardia at about 115 bpm. Here is his triage ECG:What do you think?Dr. Singer sent this to me with just the information: " ~40 year old with acute chest pain " . I immediately responded: " cool fake! Not OMI. Do you have a prior? There is a reasonable chance of pericarditis in this case, or this could be a baseline. " It could easily be mistaken for a South African flag pattern anterolateral OMI, with STE in I, aVL, V2. But importantly there is no reciprocal STD in III (which would...
Source: Dr. Smith's ECG Blog - May 16, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Navigating the ethics of AI in surgery: Balancing bias and accountability for safer procedures
An excerpt from Future Care: Sensors, Artificial Intelligence, and the Reinvention of Medicine. In the past I have used magnetic navigation using Stereotaxis equipment to perform procedures. I could sit out in the console room, more than twelve feet from the patient, and maneuver the catheters within the heart using joysticks. The equipment enhances the Read more… Navigating the ethics of AI in surgery: Balancing bias and accountability for safer procedures originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - May 10, 2023 Category: General Medicine Authors: Tags: Tech Cardiology Health IT Source Type: blogs

Chest Wearable Provides Key Heart Measurements
Researchers at the University of Texas at Austin have developed a new chest wearable that can obtain both electrocardiogram and seismocardiogram data from the underlying heart. While basic ECG can be monitored via smart watches, no other wearable com...
Source: Medgadget - May 10, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology ECG electrocardiography seismocardiography UTAustin Source Type: blogs

A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day
This was sent by a colleague.A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with intermittent central chest pain and SOB.  She had one episode of pain the previous night and two additional episodes early on morning the morning she presented.  Deep breaths are painful and symptoms come and go.  She had one BP that was measured at 160/120, uncertain when and what the BP was at other moments.  Home meds were labetalol and nifedipine.  There are T-wave inversions in precordial leads.  The patient is pain free, so it is qu...
Source: Dr. Smith's ECG Blog - May 10, 2023 Category: Cardiology Authors: Steve Smith Source Type: blogs

Vein on a Chip Includes Flexible Valves
Researchers at the University of Birmingham in the United Kingdom have developed a microfluidic device that mimics a human vein, including anatomical features such as valves, and physiological features such as pulsatile flow. The device is intended t...
Source: Medgadget - May 9, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiac Surgery Cardiology Materials Vascular Surgery DVT unibirmingham Source Type: blogs

What is Mitochondrial Cardiomyopathy?
Mitochondria have two genomes – mitochondrial and nuclear. Mitochondrial disease could be due to mutations of nuclear or mitochondrial DNA. Mitochondrial DNA is inherited maternally while nuclear DNA has Mendelian inheritance, which could be dominant or recessive [1]. It may be noted in about one in 5000 live births. Cardiac involvement in mitochondrial disease seldom occurs in isolation and is often part of multiorgan dysfunction [2]. Mitochondria being part of the cellular respiratory chain, tissues with high energy requirements like heart, muscle, kidneys and endocrine system are often involved in mitochondrial d...
Source: Cardiophile MD - May 9, 2023 Category: Cardiology Authors: Johnson Francis Tags: General Cardiology Source Type: blogs

Knitted Glove Massages the Hand to Treat Edema
A team of medical engineers at Cornell University has developed a knitted glove that is designed to treat hand edema, where fluid accumulation leads to swelling in the hands. The condition can make it difficult for patients to perform daily activitie...
Source: Medgadget - May 8, 2023 Category: Medical Devices Authors: Conn Hastings Tags: Cardiology Materials Medicine Rehab cornell Hand edema WeillCornell Source Type: blogs

Can Radial Artery be Used as Conduit for CABG After Transradial Coronary Angiography?
Radial artery is being increasingly used as a conduit for coronary artery bypass grafting in multi-vessel coronary artery disease as it provides superior long term patency rates compared to saphenous vein grafts [1]. Radial artery is also increasingly being used as access point for coronary angiography and percutaneous coronary interventions. Concerns have been raised regarding the use of radial artery as conduit after transradial procedures as there is likelihood of vascular trauma during the procedures. Some authors even mention that prior transradial catheterization is a contraindication for the use of radial artery fo...
Source: Cardiophile MD - May 8, 2023 Category: Cardiology Authors: Johnson Francis Tags: Angiography and Interventions Cardiac Surgery Coronary Interventions General Cardiology Source Type: blogs

A man in his 70s with acute chest pain and paced rhythm.
Sent by Pete McKenna M.D.  Edits by Meyers and SmithA man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of  acute chest pain.Triage ECG:What do you think?This is diagnostic of proximal LAD occlusion.  This is a huge anterolateral OMI.  Deadly.  I cannot be anything else.Code STEMI was activated by the ED physician based on the diagnostic ECG for LAD OMI in ventricular paced rhythm. There is concordant ST elevation in I, aVL with reciprocal concordant STD in inferior leads, as well as excessiv...
Source: Dr. Smith's ECG Blog - May 8, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Evidence-based medicine and bias: the truth about common therapies and clinical trials
Evidence-based medicine is a term that attendings like to pepper into their teaching rounds, and medical students like to conspicuously incorporate into their assessment and plan. There is so much clinical trial data out there that it is impossible to stay up to date on the most recent guidelines or the newest landmark trial that Read more… Evidence-based medicine and bias: the truth about common therapies and clinical trials originally appeared in KevinMD.com.
Source: Kevin, M.D. - Medical Weblog - May 7, 2023 Category: General Medicine Authors: Tags: Conditions Cardiology Source Type: blogs

A “ hard talk ” with chat GPT : Evidence vs Experience in medicine
Dr .S.Venkatesan MD Good morning GPT. Let me introduce myself . I am a medical doctor, practicing cardiology, in Chennai India. I have had a long-standing query in very fundamental principles of the practice of medicine. Just wanted to chat and clarify with you. Welcome, I am here to help you Medicine is both art and a science. In recent times the movement of evidence-based medicine (EBM ) is trying to overturn the clinical experience. I have a feeling it is not fair. We can’t create evidence for every decision we make in clinical science right?  My first question is  Can experience-based medical care be...
Source: Dr.S.Venkatesan MD - May 5, 2023 Category: Cardiology Authors: dr s venkatesan Tags: Uncategorized ai in medicine artificial intelligence chat gpt in medicine evidence vs experience based medicine Source Type: blogs