Evidence map›Paper›PMID 41884147›Full record

ArticleFrontiers in medicine2026

Development and evaluation of an artificial intelligence-based electrocardiogram prediction model for emergency chest pain patients.

Yazhi Luo, Juan Peng, Wen Peng, Qianqian Zhao, Guiling Li, Wanhong Liu

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yazhi LuoHubei Province Key Laboratory of Allergy and Immunology, Taikang Medical School (School of Basic Medical Sciences), Wuhan University, Wuhan, China.
Juan PengThe Second Xiangya Hospital of Central South University, Changsha, China.
Wen PengThe Second Xiangya Hospital of Central South University, Changsha, China.
Qianqian ZhaoThe Second Xiangya Hospital of Central South University, Changsha, China.
Guiling LiThe Second Xiangya Hospital of Central South University, Changsha, China.
Wanhong LiuHubei Province Key Laboratory of Allergy and Immunology, Taikang Medical School (School of Basic Medical Sciences), Wuhan University, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Objectives: Rapid triage and etiological differentiation are critical for patients with acute chest pain in the emergency department. The 12-lead electrocardiogram (ECG), as a non-invasive, readily available, and cost-effective diagnostic modality, provides immediate information and serves as the first-line tool for clinical evaluation. However, ECG interpretation remains highly dependent on clinician expertise and is subject to inter-observer variability. Artificial intelligence (AI)-based analytical methods can deliver automated, consistent, and real-time assessment, thereby potentially enhancing diagnostic accuracy and facilitating timely clinical decision-making. Methods: This study included 1,188 patients with acute chest pain who visited the emergency department in the Second Xiangya Hospital of Central South University, between March 2024 and March 2025. Standard 12-lead ECGs, clinical information, and final diagnoses were collected. After data preprocessing, a convolutional neural network (CNN) incorporating a channel attention mechanism was developed and trained. Model performance was assessed using accuracy, precision, recall, F1-score, area under the curve (AUC), and confusion matrices. Additionally, a blinded comparative evaluation was conducted against expert cardiologists. Results: The model demonstrated excellent discriminative capability for ST-elevation myocardial infarction (STEMI) and non-ST-elevation myocardial infarction (NSTEMI), with AUC values of 0.986 and 0.916, respectively. For STEMI, all performance metrics indicated superior diagnostic accuracy, and inference time was significantly shorter than manual interpretation (0.24 ± 0.08 s, Conclusions: The deep learning model based on 12-lead ECGs enables rapid and reliable detection of STEMI and NSTEMI, highlighting its potential as a valuable clinical decision-support tool in emergency department. Nevertheless, the recognition of UA and AD remains limited due to non-specific or transient electrophysiological features.

Indexed as

artificial intelligencechest paindeep learningelectrocardiogramemergency

Identifiers

PMID41884147
PMCPMC13008889

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.