Evidence map›Paper›PMID 42425720›Full record

ReviewOpen heart2026

AI-enhanced electrocardiography as a digital biomarker platform in cardiovascular medicine: clinical applications, validation gaps and future implementation pathways.

Damiano Venturiello, Walter Vignaroli, Giuseppe Nasso

Abstract readReview
In one paragraph

Review in Open heart, 2026. 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

3 authors.

Damiano VenturielloDepartment of Cardiology, Celio Military Hospital, Rome, Lazio, Italy.ORCID http://orcid.org/0009-0000-0874-9735
Walter VignaroliDepartment of Cardiac Surgery, Ospedale San Carlo di Nancy, Rome, Lazio, Italy vignaroli.walter@gmail.com.ORCID http://orcid.org/0000-0002-7262-4424
Giuseppe NassoDepartment of Cardiac Surgery, GVM Care and Research, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial intelligence applied to the ECG is expanding the clinical role of this widely available diagnostic tool beyond conventional waveform interpretation by enabling identification of electrophysiological patterns associated with cardiovascular structure, function and risk. Within this evolving framework, the artificial intelligence enhanced ECG is emerging as a scalable digital biomarker platform supporting screening, diagnosis and prognostic stratification across the cardiovascular disease continuum.This narrative review synthesises current evidence on the clinical applications of artificial intelligence enhanced ECG, including detection of cardiac rhythm disorders, early identification of structural heart disease, decision support in acute coronary syndromes, prediction of clinical outcomes and population level cardiovascular screening using wearable technologies. Deep learning models applied to standard and simplified electrocardiographic recordings demonstrate strong diagnostic performance in identifying atrial fibrillation, left ventricular dysfunction, hypertrophic cardiomyopathy, cardiac amyloidosis and heart failure with preserved ejection fraction. These approaches also enable estimation of long-term cardiovascular risk from apparently normal tracings and support identification of disease patterns extending beyond overt cardiac conditions.Despite these advances, clinical implementation remains limited by the need for prospective multicentre validation, improved model interpretability, standardised evaluation strategies and integration into routine clinical workflows. This review highlights current validation gaps and outlines key opportunities for translation of artificial intelligence-enhanced ECG into digital cardiology practice.

Indexed as

Artificial IntelligenceCardiovascular DiseasesElectrocardiographyBiomarkersDigital HealthHumansIntelligent SystemsPredictive Value of TestsPrognosisBiomarkersArrhythmias, CardiacDiagnostic ImagingElectrocardiography

Identifiers

PMID42425720
PMCPMC13358301

What OpenQuestion holds

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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.