AI on a simple ECG: a new way to gauge heart attack severity?
NCT ID NCT07751809
First seen Aug 07, 2026 · Last updated Aug 07, 2026
Summary
This study tests whether artificial intelligence can read a standard ECG to predict how much heart muscle is damaged after a heart attack. Researchers will compare AI-ECG results with MRI images, the current gold standard, in 461 patients who had a heart attack and underwent a procedure to open blocked arteries. The goal is to see if the AI can identify large areas of damage, poor pumping function, or blocked microvessels, potentially offering a faster and more accessible assessment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Artificial intelligence-enhanced electrocardiography (AI-ECG) algorithms (AiTiA LVSD and AiTiA MI)
- What this could lead to
- If successful, this could lead to a quick, widely available ECG-based tool to assess heart attack severity and guide treatment without needing an MRI.
- What could go wrong
- This is a retrospective validation study, so it may not reflect real-world performance. The AI algorithms might not be accurate enough to replace MRI, and results may not generalize to other 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.
- Participants
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461 people
The number who actually took part.
- Started
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Apr 2020
- Finished
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Jun 2025
- 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.
Who is studied
Consecutive AMI patients undergoing PCI and post-PCI CMR, both algorithms were applied to the pre-PCI ECG
- Ages
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19 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: * Acute myocardial infarction (STEMI or NSTEMI) undergoing PCI * Subsequent cardiac magnetic resonance imaging performed * Valid pre-PCI 12-lead ECG processable by both AI-ECG algorithms Exclusion Criteria: * Duplicate AMI enrollment * Invalid ECG-CMR date linkage * No valid pre-PCI 12-lead ECG processable by both algorithms
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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.
Contacts and locations
Locations
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Yongin Severance Hospital, Yonsei University College of Medicine
Yongin-si, Gyeonggi-do, 16995, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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