{"id":"https://openalex.org/W7158242381","doi":"https://doi.org/10.1038/s41746-026-02682-7","title":"External validation of ECG artificial intelligence for emergency and cardiac assessment across a large-scale U.S. healthcare system","display_name":"External validation of ECG artificial intelligence for emergency and cardiac assessment across a large-scale U.S. healthcare system","publication_year":2026,"publication_date":"2026-04-28","ids":{"openalex":"https://openalex.org/W7158242381","doi":"https://doi.org/10.1038/s41746-026-02682-7","pmid":"https://pubmed.ncbi.nlm.nih.gov/42049841"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-026-02682-7","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-026-02682-7","pdf_url":"https://www.nature.com/articles/s41746-026-02682-7_reference.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-026-02682-7_reference.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5134825132","display_name":"Haemin Lee","orcid":null},"institutions":[{"id":"https://openalex.org/I2803058125","display_name":"Seoul National University Bundang Hospital","ror":"https://ror.org/00cb3km46","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388","https://openalex.org/I2803058125"]},{"id":"https://openalex.org/I4210149944","display_name":"Korea Telecom (South Korea)","ror":null,"country_code":"KR","type":null,"lineage":["https://openalex.org/I4210149944"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Haemin Lee","raw_affiliation_strings":["ARPI Inc., Seongnam, Republic of Korea","Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ARPI Inc., Seongnam, Republic of Korea","institution_ids":["https://openalex.org/I4210149944"]},{"raw_affiliation_string":"Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea","institution_ids":["https://openalex.org/I2803058125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5127927663","display_name":"Yerin Kim","orcid":null},"institutions":[{"id":"https://openalex.org/I2803058125","display_name":"Seoul National University Bundang Hospital","ror":"https://ror.org/00cb3km46","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388","https://openalex.org/I2803058125"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Yerin Kim","raw_affiliation_strings":["Department of Internal Medicine, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea","institution_ids":["https://openalex.org/I2803058125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010813107","display_name":"Daniel Sykora","orcid":"https://orcid.org/0000-0002-6195-8541"},"institutions":[{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Sykora","raw_affiliation_strings":["Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210125099"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038200586","display_name":"Alexander J. Ryu","orcid":"https://orcid.org/0000-0002-0138-5112"},"institutions":[{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alexander J. Ryu","raw_affiliation_strings":["Division of Hospital Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Hospital Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA","institution_ids":["https://openalex.org/I4210125099"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122847779","display_name":"Y Cho","orcid":null},"institutions":[{"id":"https://openalex.org/I2803058125","display_name":"Seoul National University Bundang Hospital","ror":"https://ror.org/00cb3km46","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388","https://openalex.org/I2803058125"]},{"id":"https://openalex.org/I4210149944","display_name":"Korea Telecom (South Korea)","ror":null,"country_code":"KR","type":null,"lineage":["https://openalex.org/I4210149944"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Youngjin Cho","raw_affiliation_strings":["ARPI Inc., Seongnam, Republic of Korea","Department of Internal Medicine, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ARPI Inc., Seongnam, Republic of Korea","institution_ids":["https://openalex.org/I4210149944"]},{"raw_affiliation_string":"Department of Internal Medicine, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam, Republic of Korea","institution_ids":["https://openalex.org/I2803058125"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5134844160","display_name":"Joonghee Kim","orcid":null},"institutions":[{"id":"https://openalex.org/I2803058125","display_name":"Seoul National University Bundang Hospital","ror":"https://ror.org/00cb3km46","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388","https://openalex.org/I2803058125"]},{"id":"https://openalex.org/I4210149944","display_name":"Korea Telecom (South Korea)","ror":null,"country_code":"KR","type":null,"lineage":["https://openalex.org/I4210149944"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Joonghee Kim","raw_affiliation_strings":["ARPI Inc., Seongnam, Republic of Korea","Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ARPI Inc., Seongnam, Republic of Korea","institution_ids":["https://openalex.org/I4210149944"]},{"raw_affiliation_string":"Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea","institution_ids":["https://openalex.org/I2803058125"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5134873241","display_name":"Joanne Song","orcid":null},"institutions":[{"id":"https://openalex.org/I1330342723","display_name":"Mayo Clinic","ror":"https://ror.org/02qp3tb03","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723"]},{"id":"https://openalex.org/I4210125099","display_name":"Mayo Clinic in Arizona","ror":"https://ror.org/03jp40720","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210125099"]},{"id":"https://openalex.org/I4210146710","display_name":"Mayo Clinic in Florida","ror":"https://ror.org/03zzw1w08","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1330342723","https://openalex.org/I4210146710"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Joanne Song","raw_affiliation_strings":["Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA. Song.Joanne@mayo.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA. Song.Joanne@mayo.edu","institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210146710"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5134873241"],"corresponding_institution_ids":["https://openalex.org/I1330342723","https://openalex.org/I4210125099","https://openalex.org/I4210146710"],"apc_list":{"value":3590,"currency":"USD","value_usd":3590},"apc_paid":{"value":3590,"currency":"USD","value_usd":3590},"fwci":7.6341,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.96796632,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":97},"biblio":{"volume":"9","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11021","display_name":"ECG Monitoring and Analysis","score":0.2485000044107437,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11021","display_name":"ECG Monitoring and Analysis","score":0.2485000044107437,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.2206999957561493,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.09870000183582306,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cohort","display_name":"Cohort","score":0.5902000069618225},{"id":"https://openalex.org/keywords/receiver-operating-characteristic","display_name":"Receiver operating characteristic","score":0.5806000232696533},{"id":"https://openalex.org/keywords/prospective-cohort-study","display_name":"Prospective cohort study","score":0.4609000086784363},{"id":"https://openalex.org/keywords/clinical-practice","display_name":"Clinical Practice","score":0.42570000886917114},{"id":"https://openalex.org/keywords/emergency-department","display_name":"Emergency department","score":0.4020000100135803},{"id":"https://openalex.org/keywords/triage","display_name":"Triage","score":0.3944000005722046},{"id":"https://openalex.org/keywords/cohort-study","display_name":"Cohort study","score":0.3750999867916107},{"id":"https://openalex.org/keywords/risk-assessment","display_name":"Risk assessment","score":0.3720000088214874}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7918999791145325},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5902000069618225},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.5806000232696533},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4609000086784363},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4458000063896179},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.42570000886917114},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.4020000100135803},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.3944000005722046},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3750999867916107},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.3720000088214874},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3625999987125397},{"id":"https://openalex.org/C2781381097","wikidata":"https://www.wikidata.org/wiki/Q5133843","display_name":"Clinical prediction rule","level":2,"score":0.3368000090122223},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3222000002861023},{"id":"https://openalex.org/C2993611561","wikidata":"https://www.wikidata.org/wiki/Q5690807","display_name":"Patient assessment","level":2,"score":0.3188000023365021},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.3142000138759613},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.30979999899864197},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.30880001187324524},{"id":"https://openalex.org/C36036425","wikidata":"https://www.wikidata.org/wiki/Q7846262","display_name":"Troponin","level":3,"score":0.28940001130104065},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.28619998693466187},{"id":"https://openalex.org/C2780040984","wikidata":"https://www.wikidata.org/wiki/Q79785","display_name":"Electrocardiography","level":2,"score":0.28220000863075256},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.27570000290870667},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.2662999927997589},{"id":"https://openalex.org/C189430467","wikidata":"https://www.wikidata.org/wiki/Q7293293","display_name":"Ranking (information retrieval)","level":2,"score":0.2621000111103058},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.2619999945163727},{"id":"https://openalex.org/C2781175549","wikidata":"https://www.wikidata.org/wiki/Q1306218","display_name":"Pericardial effusion","level":2,"score":0.2549999952316284}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-026-02682-7","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-026-02682-7","pdf_url":"https://www.nature.com/articles/s41746-026-02682-7_reference.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:42049841","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42049841","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:77ec49b6053842518939d93a9f0c488b","is_oa":false,"landing_page_url":"https://doaj.org/article/77ec49b6053842518939d93a9f0c488b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 9, Iss 1 (2026)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13333823","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13333823/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1038/s41746-026-02682-7","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-026-02682-7","pdf_url":"https://www.nature.com/articles/s41746-026-02682-7_reference.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.6925703883171082,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7158242381.pdf","grobid_xml":"https://content.openalex.org/works/W7158242381.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"An":[0],"ECG-based":[1,180],"artificial":[2],"intelligence":[3],"(AI)":[4],"model":[5,46],"was":[6,106,137],"previously":[7],"developed":[8],"to":[9,98,119,130],"generate":[10],"ten":[11,123],"digital":[12],"biomarkers":[13],"for":[14,156,179,188],"emergency":[15],"and":[16,19,72,81,86,141,162,182,184,195],"cardiac":[17],"assessment":[18],"is":[20],"currently":[21],"deployed":[22],"in":[23,26],"clinical":[24,193],"practice":[25],"Korea":[27],"(ECG":[28],"Buddy,":[29],"ARPI":[30],"Inc.).":[31],"Its":[32],"external":[33],"validity":[34],"within":[35],"U.S.":[36,52],"healthcare":[37],"settings":[38],"has":[39],"not":[40],"been":[41],"established.":[42],"This":[43],"study":[44],"evaluated":[45],"performance":[47],"using":[48,77],"a":[49,82,145,186],"large-scale,":[50],"multi-center":[51],"dataset":[53],"via":[54],"the":[55,109,112,176],"Mayo":[56],"Clinic":[57],"Platform":[58],"(MCP)":[59],"Discover.":[60],"Two":[61],"validation":[62],"cohorts":[63],"were":[64],"assessed:":[65],"an":[66],"emergency-diagnosis":[67],"cohort":[68,84],"(mortality,":[69],"AMI,":[70],"STEMI":[71,163],"equivalents,":[73],"hyperkalemia,":[74],"pulmonary":[75,91],"edema)":[76],"initial":[78,153],"ED":[79],"ECGs,":[80],"cardiac-function":[83],"(left":[85],"right":[87],"ventricular":[88],"systolic":[89],"dysfunction,":[90],"hypertension,":[92],"hemodynamically":[93],"significant":[94],"pericardial":[95],"effusion)":[96],"anchored":[97],"echocardiography":[99],"or":[100],"right-heart":[101],"catheterization.":[102],"The":[103],"primary":[104],"objective":[105],"non-inferiority":[107,134],"of":[108,191],"Area":[110],"Under":[111],"Receiver":[113],"Operating":[114],"Characteristic":[115],"Curve":[116],"(AUC)":[117],"relative":[118],"prespecified":[120],"benchmarks.":[121],"Across":[122],"target":[124],"conditions,":[125],"AUCs":[126],"ranged":[127],"from":[128],"0.883":[129],"0.949;":[131],"all":[132,169],"met":[133],"criteria.":[135],"Performance":[136],"consistent":[138],"across":[139,197],"sex":[140],"age":[142],"strata.":[143],"In":[144],"paired":[146],"subset":[147],"(N":[148],"=":[149],"1368),":[150],"ECG-AI":[151],"outperformed":[152],"troponin":[154],"T":[155],"AMI":[157],"(AUC":[158,165],"0.920":[159],"vs.":[160,167],"0.878)":[161],"equivalents":[164],"0.932":[166],"0.736;":[168],"P":[170],"<":[171],"0.001).":[172],"These":[173],"findings":[174],"support":[175],"model's":[177],"potential":[178],"screening":[181],"triage,":[183],"provide":[185],"foundation":[187],"prospective":[189],"evaluation":[190],"calibration,":[192],"integration,":[194],"impact":[196],"diverse":[198],"populations.":[199]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-07-27T08:26:11.824852","created_date":"2026-04-30T00:00:00"}