AI-Powered ECG could cut unnecessary heart tests
NCT ID NCT07757425
First seen Aug 11, 2026 · Last updated Aug 12, 2026 · Updated 1 time
Summary
This trial is testing whether an artificial intelligence-enhanced electrocardiogram (AI-ECG) can help doctors quickly and safely identify which people with non-cardiac chest pain are truly low risk. Half of the participants will receive the AI-ECG in addition to standard care, while the other half will receive standard care alone. The study aims to see if the AI-ECG can reduce unnecessary tests, lower healthcare costs, and speed up diagnosis and reassurance, without compromising patient safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AI-enhanced electrocardiogram (AI-ECG) as a diagnostic test
- What this could lead to
- If effective, this AI-ECG pathway could reduce unnecessary invasive tests, lower healthcare costs, and provide faster reassurance for many patients with chest pain.
- What could go wrong
- The AI-ECG is still experimental and may not be as accurate in real-world settings. There is also a risk that relying on it could miss some heart problems, and the trial's results may not apply to all populations.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 4,000 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Our study population will include all patients aged 18 years and older presenting with non-anginal chest pain (chest pain that is not typical to the heart) to 6 rapid access chest pain clinic sites across North West London. Chest pain typicality will be defined using the standardised Rose Angina questionnaire, based on clinical history. Exclusion Criteria: * Patients with typical cardiac (heart-related) chest pain, as defined by the Rose Angina classification * Patients with known moderate or severe stenosis (narrowing) in an epicardial coronary artery (the blood vessels supplying the heart) * Known left ventricular impairment (left ventricular ejection fraction \<50%), otherwise known as heart failure * Left bundle branch block (a significant electrical abnormality of the heart on ECG) * End-stage kidney failure requiring renal replacement therapy such as dialysis or a kidney transplant * Moderate or severe valvular heart disease (serious narrowing or leaking of the heart valves) * Paced rhythm at the time of ECG acquisition (lots of patients with pacemakers will fall into this category, but only if their pacemaker is firing at the time the ECG was taken).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Imperial College NHS Healthcare Trust
London, London, United Kingdom
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London North West University Healthcare NHS Trust
London, United Kingdom
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Other studies related to the condition(s) this trial covers.
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