Evidence map›Paper›PMID 41180819›Full record

ArticleClinical Medicine Insights. Cardiology2025

Reliability and Readability Assessment of Atrial Fibrillation Patient Information Delivered by Artificial Intelligence-Based Language Models (ChatGPT, YouChat, Gemini, and Perplexity AI) in English and Spanish.

Emilio Jose Juan Juan-Guardela, Jesús Andrés Beltrán-España, María Paula Ravagli-Baquero, Cristian Orlando Porras-Bueno, Edward Cáceres-Méndez, Daniel Fernandez Ávila, Oscar Muñoz-Velandia, Ángel Alberto García-Peña

Abstract read
In one paragraph

Article in Clinical Medicine Insights. Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Emilio Jose Juan Juan-GuardelaDepartment of Internal Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.ORCID https://orcid.org/0000-0003-1776-3074
Jesús Andrés Beltrán-EspañaDepartment of Internal Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.ORCID https://orcid.org/0000-0002-6024-7844
María Paula Ravagli-BaqueroFaculty of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia.
Cristian Orlando Porras-BuenoDepartment of Internal Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.ORCID https://orcid.org/0000-0001-9618-0744
Edward Cáceres-MéndezDepartment of Internal Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.
Daniel Fernandez ÁvilaDepartment of Internal Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.
Oscar Muñoz-VelandiaDepartment of Internal Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.ORCID https://orcid.org/0000-0001-5401-0018
Ángel Alberto García-PeñaDepartment of Internal Medicine, Pontificia Universidad Javeriana, Bogota, Colombia.ORCID https://orcid.org/0000-0002-3606-2102

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Atrial fibrillation (AF) is the most prevalent arrhythmia and a significant cause of morbidity. Artificial intelligence (AI)-based language models represent a novel tool for searching for medical information; however, there is still uncertainty regarding their reliability and readability in different languages. Objective: To assess the reliability and readability of information provided by AI-based models for patients with AF. Methods: A cross-sectional study was conducted to assess the reliability and readability of the responses generated by ChatGPT, YouChat, Gemini and Perplexity on AF in English and Spanish. Thirty standardised questions were posed in both languages. The quality of the responses was then assessed by 2 independent reviewers via a standardised tool. Readability was assessed via the Flesch-Szigrist formula. The results were then compared by tool and language. Results: ChatGPT demonstrated the highest interrater agreement (PA = 0.73 in Spanish, 0.80 in English), followed by Gemini in English (PA = 0.66). In Spanish, ChatGPT generated the highest percentage of complete responses (80%), followed by Perplexity (73%) and Gemini (47%). In English, Perplexity demonstrated the strongest performance, with a score of 93%, followed by ChatGPT, with 73%, and Gemini, with 53%. A readability analysis revealed significant differences between the models ( Conclusion: ChatGPT and Perplexity emerged as the most reliable models, although readability remains a concern. There is a clear need for improvements to optimise the accuracy and accessibility of AI-generated medical information.

Indexed as

artificial intelligenceatrial fibrillationlarge language modelsreadability

Identifiers

PMID41180819
PMCPMC12579164

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.