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Chest pain and AI interpretation: The essential role of clinical judgment and quality data
Marco Biasin1, Sara Lomi1, Laura Pagani1
1Santorso General Hospital - ULSS 7 Veneto, division of cardiology, Santorso, VI 36014, Italy.
Insights
A 72-year-old man
Area of Science:
- Emergency Medicine
- Cardiology
- Radiology
Background:
- Chest pain is a frequent and challenging presentation in emergency departments.
- Differential diagnosis is complex due to numerous potential etiologies.
- Acute coronary syndrome is a primary concern, but other conditions must be considered.
Abstract:
Chest pain is a common and complex condition in emergency departments, often complicating the diagnostic process due to its wide range of potential causes. This case report presents a 72-year-old man with chest pain and ST-segment elevation on ECG, initially suggestive of acute coronary syndrom. AI-assisted ECG analysis reinforced this suspicion; however, angiography revealed patent coronary arteries. When his symptoms persisted, further investigation uncovered a pneumothorax. Additional evaluation identified a digitization error affecting the AI interpretation. This case underscores the importance of a comprehensive clinical approach for chest pain and highlights the need for quality data input and alternative imaging, such as thoracic ultrasound, for accurate and timely differential diagnoses.
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