Evidence map›Paper›PMID 41552743›Full record

ArticleCureus2026

Overcoming Normalcy Bias in Acute Myocardial Infarction: A Case Report of Generative AI as a Behavioral Catalyst for Emergency Care Seeking.

Osamu Ikeda, Naofumi Oyamada, Masashi Hayashi

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Osamu IkedaFaculty of Human Development and Education, Kyoto Tachibana University, Kyoto, JPN.
Naofumi OyamadaDepartment of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, JPN.
Masashi HayashiDepartment of Cardiology, Japanese Red Cross Otsu Hospital, Otsu, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pre-hospital delay remains a major determinant of outcomes in acute myocardial infarction (AMI), with normalcy bias playing a central role in patients' failure to interpret symptoms as signals of serious illness. This case report examines the role of generative artificial intelligence (AI) not as a diagnostic instrument but as a behavioral catalyst that prompted timely emergency care seeking. A man in his early sixties presented with chest discomfort, neck radiation, bilateral lower molar pain, diaphoresis, and cold extremities. Although these symptoms are medically typical of AMI, myocardial infarction was not part of the patient's immediate cognitive framework, and they were initially interpreted as dental discomfort or nonspecific physical fatigue. After consulting a publicly available generative AI system that issued a clear imperative to contact emergency medical services, the patient activated emergency care. He was subsequently diagnosed with inferior ST-elevation myocardial infarction due to right coronary artery occlusion and underwent successful emergency percutaneous coronary intervention. This case suggests that AI-generated language can mitigate normalcy bias and accelerate patient decision-making in acute medical settings without functioning as a diagnostic tool.

Indexed as

acute myocardial infarctionartificial intelligencebehavioral catalystgenerative ailarge language modelsnormalcy biaspatient decision makingpercutaneous coronary interventionpre-hospital delaystemi

Identifiers

PMID41552743
PMCPMC12811831

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.