Artificial intelligence-assisted diagnosis and prognostication in low ejection fraction using electrocardiograms in inpatient department: a pragmatic randomized controlled trial.

Journal: BMC medicine
Published Date: Jun 9, 2025

Abstract

BACKGROUND: Early diagnosis of low ejection fraction (EF) remains challenging despite being a treatable condition. This study aimed to evaluate the effectiveness of an electrocardiogram (ECG)-based artificial intelligence (AI)-assisted clinical decision support tool in improving the early diagnosis of low EF among inpatient patients under non-cardiologist care.

Authors

  • Dung-Jang Tsai
    Center for Artificial Intelligence and Internet of Things, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
  • Chin Lin
    School of Public Health, National Defense Medical Center, Taipei, Taiwan.
  • Wei-Ting Liu
    Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
  • Chiao-Chin Lee
    Division of Cardiology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
  • Chiao-Hsiang Chang
    Division of Cardiology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
  • Wen-Yu Lin
    Department of Medical Education, Clinical Innovation Center, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
  • Yu-Lan Liu
    Division of Cardiology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
  • Da-Wei Chang
    Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.
  • Ping-Hsuan Hsieh
    School of Pharmacy, National Denfense Medical Center, Taipei, Taiwan.
  • Chien-Sung Tsai
    Division of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center;
  • Yuan-Hao Chen
    Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
  • Yi-Jen Hung
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
  • Chin-Sheng Lin
    Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan.

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