Evidence map›Paper›PMID 42070276›Full record

ArticleJournal of evaluation in clinical practice2026

ChatGPT in Public Cardiovascular Healthcare: Accuracy, Limitations, and Implications.

Lara Borja Mialarett, Thiago Lott Bezerra, Manuela Carneiro Lopes, Juliano Moreira Reis Filho, Julliane V Joviano-Santos

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Lara Borja MialarettFaculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brasil.
Thiago Lott BezerraFaculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brasil.
Manuela Carneiro LopesFaculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brasil.
Juliano Moreira Reis FilhoPost-Graduate Program in Health Sciences, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brasil.
Julliane V Joviano-SantosPost-Graduate Program in Health Sciences, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brasil.ORCID https://orcid.org/0000-0002-5788-6223

Funding

Conselho Nacional de Desenvolvimento CientÍfico e TecnológicoCoordenação de Aperfeiçoamento de Pessoal de NÍvel SuperiorFundação de Amparo à Pesquisa do Estado de Minas GeraisFundação Educacional Lucas Machado
6 · The paper itself

Abstract

introductionChatGPT is a cost-effective artificial intelligence (AI) tool designed to facilitate virtual interactions with humans, and its application in healthcare is expanding. However, research on ChatGPT's effectiveness in public healthcare, particularly for cardiac patients, is still limited. This study aims to evaluate ChatGPT's potential in managing cardiovascular health for patients with acute or chronic cardiac conditions.

methodsWe analyzed real medical records from 'The Cardiovascular Care' program, affiliated with a university outpatient clinic. ChatGPT's performance was evaluated in terms of its ability to analyze clinical cases, propose diagnoses, and recommend appropriate actions. We also assessed whether ChatGPT's accuracy and errors varied depending on disease severity, rarity, mortality risk, and urgency.

resultsWhen compared to physicians' records, ChatGPT provided correct responses in 43% of diagnostic hypotheses, 5% of recommended supplementary exams, and 10% of laboratory tests. It showed significant accuracy and discernment in diagnosing conditions influenced by factors such as severity, rarity, risk of death, and urgency. However, this discernment did not extend to recommendations for supplementary exams and laboratory tests. Interestingly, while ChatGPT's responses in these areas were often only partially accurate, they tended to be more detailed, sometimes unnecessarily so, than those provided by physicians. Diagnostic hypotheses from multiple models, including ChatGPT Health, DeepSeek, Gemini Pro, Perplexity AI, and ESC Chat, were also evaluated. Performance varied across models, with ChatGPT demonstrating the highest diagnostic accuracy among those assessed, despite still producing incorrect outputs.

conclusionAlthough ChatGPT demonstrates some diagnostic capability, its overall reliability remains questionable, with performance at times approaching random chance. Caution is advised when considering its use in clinical decision-making.

Indexed as

Artificial IntelligenceCardiovascular DiseasesFemaleGenerative Artificial IntelligenceHumansMaleartificial intelligencecardiovascular healthChatGPThealthcare delivery

Identifiers

PMID42070276
PMCPMC13135820

What OpenQuestion holds

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LicenceCC BY
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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.