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Prospects for AI-Enhanced ECG as a Unified Screening Tool for Cardiac and Non-Cardiac Conditions -- An Explorative Study in Emergency Care

2023-12-18Code Available1· sign in to hype

Nils Strodthoff, Juan Miguel Lopez Alcaraz, Wilhelm Haverkamp

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Abstract

Current deep learning algorithms designed for automatic ECG analysis have exhibited notable accuracy. However, akin to traditional electrocardiography, they tend to be narrowly focused and typically address a singular diagnostic condition. In this exploratory study, we specifically investigate the capability of a single model to predict a diverse range of both cardiac and non-cardiac discharge diagnoses based on a sole ECG collected in the emergency department. We find that 253, 81 cardiac, and 172 non-cardiac, ICD codes can be reliably predicted in the sense of exceeding an AUROC score of 0.8 in a statistically significant manner. This underscores the model's proficiency in handling a wide array of cardiac and non-cardiac diagnostic scenarios which demonstrates potential as a screening tool for diverse medical encounters.

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