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Related Concept Videos

Electrocardiogram01:29

Electrocardiogram

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An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Artificial Intelligence for Myocardial Infarction Detection via Electrocardiogram: A Scoping Review.

Sosana Bdir1, Mennatallah Jaber1, Osaid Tanbouz1

  • 1Department of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus P400, Palestine.

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PubMed
Summary

Artificial intelligence (AI) shows promise for detecting myocardial infarction (MI) using electrocardiograms (ECGs). However, current AI diagnostic performance is limited by dataset and validation issues, necessitating standardization for reliable clinical use.

Keywords:
12-lead ECGCNNartificial intelligencedetectionmyocardial infarction

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Area of Science:

  • Cardiology
  • Artificial Intelligence
  • Medical Diagnostics

Background:

  • Acute myocardial infarction (MI) remains a leading cause of mortality globally, posing significant healthcare challenges.
  • Early and accurate MI detection is crucial but often difficult despite diagnostic advancements.
  • Artificial intelligence (AI) is emerging as a powerful tool to enhance electrocardiogram (ECG)-based MI detection.

Purpose of the Study:

  • To systematically map and evaluate the applications of AI in detecting MI using ECG data.
  • To provide a comprehensive overview of AI-driven MI detection methods.
  • To identify trends and challenges in AI for ECG-based MI diagnosis.

Main Methods:

  • A systematic scoping review of AI applications for MI detection via ECG.
  • Searches conducted in major databases (MEDLINE, Embase, Web of Science, Cochrane) from 2015 to October 2024.
  • Inclusion of 220 studies following PRISMA-ScR guidelines, extracting data on AI models, algorithms, ECG types, and performance metrics.

Main Results:

  • AI applications for MI detection have rapidly increased since 2015, peaking in 2022.
  • Convolutional neural networks and support vector machines were predominant AI models, often using 12-lead ECGs.
  • High reported performance metrics were often based on small, single-source datasets with optimistic validation, showing limited generalizability and potential biases.

Conclusions:

  • AI-based MI detection using ECGs is a rapidly growing field.
  • Current diagnostic performance is significantly constrained by dataset limitations and validation methodologies.
  • Standardization in reporting, datasets, and validation is essential for clinical integration, explainability, and equitable deployment of AI in MI detection.