AI reads heart rhythms to unmask silent heart disease
NCT ID NCT06511505
First seen Aug 19, 2026 · Last updated Aug 21, 2026 · Updated 2 times
Summary
This trial tests whether an artificial intelligence tool can help doctors detect undiagnosed atrial fibrillation and structural heart disease from routine electrocardiograms (ECGs). About 1,000 healthcare providers are randomly assigned to either receive AI-generated risk alerts for their patients or not, and researchers compare how often new heart conditions are diagnosed. The goal is to see if this AI approach improves detection and guides further testing in everyday clinical practice.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AI-enabled ECG screening tool (rECHOmmend and ECG-AF algorithms) that analyzes 12-lead ECG recordings to flag risk of atrial fibrillation and structural heart disease
- What this could lead to
- If effective, this AI tool could help doctors catch hidden heart conditions earlier, potentially preventing complications like stroke or heart failure.
- What could go wrong
- The AI may produce false alarms or miss cases, and it's unclear if acting on its alerts will truly improve patient outcomes in real-world settings.
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 1,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Sep 2028
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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40 years and older
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: 1. Atrial fibrillation algorithm 1. Age 65 or over 2. ECG obtained as part of routine clinical care 2. Structural heart disease algorithm 1. Age 40 or over 2. ECG obtained as part of routine clinical care Exclusion Criteria: 1. Atrial fibrillation algorithm 1. No history of AF 2. No permanent pacemaker (PPM) or implantable cardioverter defibrillator (ICD) 3. No recent cardiac surgery (within the preceding 30 days) 2. Structural heart disease algorithm 1. No history of SHD 2. No echocardiogram within the past 1 year
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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
1 site. 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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Northwestern University
RECRUITINGChicago, Illinois, 60611, United States
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