Evidence map›Paper›PMID 42343943›Full record

ArticleFrontiers in digital health2026

Performance of large language models in delivering accurate and comprehensible patient information on heart failure and cardiomyopathy.

Christoph Reich, Jule Leverenz, Charlotte Brand, Lasse Niemeier, Isabel Branzei, Mustafa Yildirim, Farbod Sedaghat-Hamedani, Ali Amr, Norbert Frey, Benjamin Meder

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

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

10 authors.

Christoph ReichDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Jule LeverenzDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Charlotte BrandDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Lasse NiemeierDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Isabel BranzeiDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Mustafa YildirimDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Farbod Sedaghat-HamedaniDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Ali AmrDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Norbert FreyDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Benjamin MederDepartment of Internal Medicine III, Heidelberg Faculty of Medicine, Heidelberg University, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Large language models (LLMs) are increasingly used by patients seeking cardiovascular health information through digital platforms. However, their accuracy and suitability for providing guidance on heterogeneous diseases such as cardiomyopathies and heart failure remain inadequately evaluated. This study systematically benchmarked state-of-the-art LLMs on patient-oriented heart failure and cardiomyopathy queries regarding clinical appropriateness and comprehensibility. Methods: Six prominent LLM Chatbots were tested on 50 expert-curated questions covering disease understanding and lifestyle advice. A web-based evaluation platform randomized and blinded responses for assessment by twelve reviewers (cardiologists, medical students, AI auto-graders). Responses were rated on a 1-5 Likert scale across nine domains, including appropriateness, readability, and empathy. Reviewers also chose their preferred model per question. Results: Linguistic complexity and output length varied substantially. Gemini provided the most readable responses (Flesch-Kincaid Grade 11.3 ± 1.9) but was among the most verbose (668.7 ± 116.1 words). Across 2,700 ratings, Gemini received the highest composite mean rating (4.41 ± 0.77), excelling in completeness and factual reliability, followed by Grok (4.23 ± 0.76). Confabulation avoidance scored consistently high across all models (4.49 ± 0.02), while conciseness scored lowest (3.81 ± 0.05). Consistently, evaluators selected Gemini as their preferred information source in 43.7%, followed by Grok (30.3%). Rating tendencies varied by evaluator group: Auto-graders gave the highest average scores (mean 4.58 ± 0.60), followed by students (4.10 ± 0.88), while experts were more conservative (3.79 ± 0.93). Discussion: All LLMs showed good accuracy avoiding medical misinformation, though variability exists in readability and comprehensiveness. While major factual errors or hallucinations were rare in our blinded evaluation, they were not entirely absent.

Indexed as

artificial intelligencecardiomyopathydigital healthheart failurepatient education

Identifiers

PMID42343943
PMCPMC13286976

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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.