aceDiagnostic Accuracy of Artificial Intelligence for Detecting ST-Elevation Myocardial Infarction on 12-Lead Electrocardiograms: A Systematic Review and Meta-Analysis
Artificial intelligence (AI) may improve electrocardiographic detection of ST-elevation myocardial infarction (STEMI), but available studies address distinct diagnostic questions. We systematically reviewed studies evaluating AI-based STEMI detection from 12-lead electrocardiograms and separately synthesized AI performance against a clinical reference standard, AI and clinician performance against a clinical reference, and AI agreement with physician electrocardiogram (ECG) interpretation. PubMed, Embase, Web of…
Across 8 studies comparing both against a clinical reference, AI had higher sensitivity for STEMI than clinicians (0.91 versus 0.78) at equal specificity of 0.91.
The authors note that available studies address distinct diagnostic questions, so results were synthesised separately; the comparisons with clinicians rest on only 8 studies and confidence intervals for some estimates are wide.
Evidence
- Peer-reviewedCardiology in Review2026-10-29
How should this claim be treated?
Truvace Impact Record TRV-2026-2312, v1: “Diagnostic Accuracy of Artificial Intelligence for Detecting ST-Elevation Myocardial Infarction on 12-Lead Electrocardiograms: A Systematic Review and Meta-Analysis.” Truvace, 2026-10-29. /record/TRV-2026-2312 (accessed at citation time). sha256 bfad664e7951db5e…
Calibration history
Every change to this record since certification, in the open. None yet — the reading has held since it entered the record.
Certified into the record
How to verify without trusting this page
Fetch the canonical text of any version from /api/record/TRV-2026-2312 and hash it yourself — for example shasum -a 256 on the saved canonical field. The result must equal content_hash, and each version’s text ends with prev:followed by the prior version’s hash (version 1 chains to 64 zeros). If a single character of any version had been altered since certification, the chain would not reproduce.