aceHuman vs Artificial Intelligence in Detecting Coronary Occlusions in ST-Elevation Myocardial Infarction: Retrospective Study
Background Occlusion myocardial infarction (OMI) on the electrocardiogram (ECG) can present as ST-elevation myocardial infarction (STEMI), non-STEMI, ST depression, or other patterns (eg, de Winter T waves and hyperacute T waves), posing a diagnostic challenge. Even experienced physicians may overlook OMI on ECG, leading to delays in catheterization laboratory activation. Recently, smartphone apps using AI have been shown to exhibit promising accuracy in ECG interpretation in large datasets. Objective The object…
On 33 diagnostically challenging ECGs, the AI app PMCardio detected every occlusion myocardial infarction (100% sensitivity and NPV), while three cardiologists reached 62% to 85% sensitivity.
The study is retrospective and uses only 33 selected, diagnostically challenging ECGs, so the results may not generalize to routine emergency care.
Evidence
- Peer-reviewedJMIR Cardio2026-10-14
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Truvace Impact Record TRV-2026-1923, v1: “Human vs Artificial Intelligence in Detecting Coronary Occlusions in ST-Elevation Myocardial Infarction: Retrospective Study.” Truvace, 2026-10-19. /record/TRV-2026-1923 (accessed at citation time). sha256 bb448756a6f5c33b…
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