International evaluation of an artificial intelligence-powered electrocardiogram model detecting acute coronary occlusion myocardial infarction.

Journal: European heart journal. Digital health
Published Date: Nov 28, 2023

Abstract

AIMS: A majority of acute coronary syndromes (ACS) present without typical ST elevation. One-third of non-ST-elevation myocardial infarction (NSTEMI) patients have an acutely occluded culprit coronary artery [occlusion myocardial infarction (OMI)], leading to poor outcomes due to delayed identification and invasive management. In this study, we sought to develop a versatile artificial intelligence (AI) model detecting acute OMI on single-standard 12-lead electrocardiograms (ECGs) and compare its performance with existing state-of-the-art diagnostic criteria.

Authors

  • Robert Herman
    Department of Advanced Biomedical Sciences, University of Naples Federico II, C.so Umberto I, 40, 80138 Naples, Italy.
  • Harvey Pendell Meyers
    Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC, USA.
  • Stephen W Smith
    Department of Emergency Medicine, University of Minnesota, Minneapolis, MN, USA.
  • Dario T Bertolone
    Department of Advanced Biomedical Sciences, University of Naples Federico II, C.so Umberto I, 40, 80138 Naples, Italy.
  • Attilio Leone
    Department of Advanced Biomedical Sciences, University of Naples Federico II, C.so Umberto I, 40, 80138 Naples, Italy.
  • Konstantinos Bermpeis
    Department of Advanced Biomedical Sciences, University of Naples Federico II, C.so Umberto I, 40, 80138 Naples, Italy.
  • Michele M Viscusi
    Department of Advanced Biomedical Sciences, University of Naples Federico II, C.so Umberto I, 40, 80138 Naples, Italy.
  • Marta Belmonte
    Cardiovascular Center OLV Aalst, Belgium.
  • Anthony Demolder
    Powerful Medical, Bratislavska 81/37, 931 01 Samorin, Slovakia.
  • Vladimir Boza
    Powerful Medical, Bratislavska 81/37, 931 01 Samorin, Slovakia.
  • Boris Vavrik
    Powerful Medical, Bratislavska 81/37, 931 01 Samorin, Slovakia.
  • Viera Kresnakova
    Powerful Medical, Bratislavska 81/37, 931 01 Samorin, Slovakia.
  • Andrej Iring
    Powerful Medical, Bratislavska 81/37, 931 01 Samorin, Slovakia.
  • Michal Martonak
    Powerful Medical, Bratislavska 81/37, 931 01 Samorin, Slovakia.
  • Jakub Bahyl
    Powerful Medical, Bratislavska 81/37, 931 01 Samorin, Slovakia.
  • Timea Kisova
    Powerful Medical, Bratislavska 81/37, 931 01 Samorin, Slovakia.
  • Dan Schelfaut
    Cardiovascular Centre Aalst, OLV Hospital, Moorselbaan 164, Aalst 9300, Belgium.
  • Marc Vanderheyden
    Cardiovascular Centre Aalst, OLV Hospital, Moorselbaan 164, Aalst 9300, Belgium.
  • Leor Perl
    Department of Cardiology, Rabin Medical Center, Petah Tikvah, Israel.
  • Emre K Aslanger
    Department of Cardiology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey.
  • Robert Hatala
    Department of Arrhythmia and Pacing, National Institute of Cardiovascular Diseases, Bratislava, Slovakia.
  • Wojtek Wojakowski
    Department of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.
  • Jozef Bartunek
    Cardiovascular Centre Aalst, OLV Hospital, Moorselbaan 164, Aalst 9300, Belgium.
  • Emanuele Barbato
    Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.

Keywords

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