Evidence map›Paper›PMID 42909890›Full record

ArticleEuropean heart journal. Digital health2026

Artificial intelligence in cardiology: an evidence map across subspecialties, 2014-26.

Łukasz Kołtowski, Mikołaj Basza, Mateusz Soliński, Bartosz Rolek, Helge Brandberg, Francesco Costa, Nurgul Keser, Maria Marketou, Marcin Grabowski, Rafael Vidal-Perez and 14 more

Abstract read
In one paragraph

Article in European heart journal. 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.

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

24 authors.

Łukasz Kołtowski1st Department of Cardiology, Medical University of Warsaw, Banacha 1A, 02-097 Warsaw, Poland.
Mikołaj Basza1st Department of Cardiology, Medical University of Warsaw, Banacha 1A, 02-097 Warsaw, Poland.
Mateusz SolińskiComputational Physics Laboratory, Tampere University, Tampere, Finland.
Bartosz Rolek1st Department of Cardiology, Medical University of Warsaw, Banacha 1A, 02-097 Warsaw, Poland.ORCID https://orcid.org/0009-0002-4837-5103
Helge BrandbergDepartment of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Francesco CostaCardiology Department, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.ORCID https://orcid.org/0000-0002-3097-2834
Nurgul KeserHealth Sciences University Faculty of Medicine, Department of Cardiology, Istanbul, Türkiye.
Maria MarketouUniversity of Crete, School of Medicine, Heraklion, Crete, Greece.ORCID https://orcid.org/0000-0003-1888-3430
Marcin Grabowski1st Department of Cardiology, Medical University of Warsaw, Banacha 1A, 02-097 Warsaw, Poland.
Rafael Vidal-PerezCentro de Investigación Biomédica en Red en Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0001-9944-8363
Nico BruiningThorax Center, Department of Cardiology, Erasmus MC, Cardiovascular Institute, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-0272-5617
Emma SvennbergDepartment of Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-6413-0870
Dariusz DudekDigital Medicine & Robotics Center, Jagiellonian University Medical College, Krakow, Poland.
Bernard CosynsCardiology Department, Centrum Voor Hart en Vaatziekten (CHVZ), Universitair Ziekenhuis Brussel, Brussels, Belgium.ORCID https://orcid.org/0000-0001-9419-8019
Paweł Balsam1st Department of Cardiology, Medical University of Warsaw, Banacha 1A, 02-097 Warsaw, Poland.ORCID https://orcid.org/0000-0003-0441-8976
Ruben Casado-ArroyoDepartment of Cardiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.
Hareld KempsDepartment of Cardiology, Máxima Medical Centre, Veldhoven, The Netherlands.
Maurizio VolterraniCardio Pulmonary Department, IRCCS San Raffaele Roma, Rome, Italy.ORCID https://orcid.org/0000-0002-2624-9213
Piotr SzymańskiClinical Cardiology Center, National Institute of Medicine MSWiA, Warsaw, Poland.
Lien DestegheDepartment of Cardiology, Antwerp University Hospital, Antwerp, Belgium.ORCID https://orcid.org/0000-0001-8641-4658
Ruxandra ChristodorescuDepartment V Internal Medicine, University of Medicine and Pharmacy Victor Babeș Timișoara, Research Centre, Institute of Cardiovascular Diseases Timișoara, Romania.
Grzegorz Opolski1st Department of Cardiology, Medical University of Warsaw, Banacha 1A, 02-097 Warsaw, Poland.
Gerhard HindricksGerman Heart Center Charité, Cardiology Charité Mitte, Berlin, Germany.ORCID https://orcid.org/0000-0002-0132-0773
Folkert W AsselbergsDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Artificial intelligence (AI) is increasingly being applied in healthcare, including cardiology, with growing interest in its potential to support diagnosis, prognosis, and clinical decision-making. The rapid pace of technological advancements is not matched by equivalent progress in the regulation and appraisal of these systems. This review aims to provide a structured evidence map of AI models in cardiology, by grading the robustness of clinical validation and mapping it against the quantity of publications across main subspecialties. Methods and results: To assess the strength of evidence, we defined, developed, and applied a novel classification tailored for AI models that ranks evidence into five Grades of Validation according to the level of clinical validity. We screened literature from 2014 to 2026 according to the PRISMA guidelines, identifying a total of 2807 articles on AI applications within cardiology, 490 of which met the inclusion criteria (validation was performed in at least one external, independent patient population), revealing a highly heterogeneous distribution of evidence across subspecialties. Most studies in AI focused on improved diagnostics ( Conclusion: The scarcity of prospective validations across different resources and geographical settings (

Indexed as

ArrhythmiaArtificial intelligenceCardiologyCardiovascular diseaseCardiovascular imagingClinical validationCoronary artery diseaseMachine learningScientific statement

Identifiers

PMID42909890
PMCPMC13684412

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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.