Artificial Intelligence Based Rapid Identification of ST-elevation Myocardial Infarction Using Electrocardiogram (ARISE)

National Defense Medical Center, Taiwan43,176 enrolled

Overview

This is a randomized controlled trial (RCT) to test a novel artificial intelligence (AI)-enabled electrocardiogram (ECG)-based supporting tool for improving the diagnosis and management of ST-elevation myocardial infarction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

NONE

Enrollment

43,176

Conditions

Myocardial Infarction, Acute

Interventions

AI-enabled ECG-based Screening ToolOTHER

Primary care clinicians in the intervention group had access to the report, which displayed whether the AI-ECG result was positive or negative.The system will send a message to corresponding physicians if positive finding.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients in emergency department or inpatient department. * Patients recieved at least 1 ECG examination. Exclusion Criteria: * The patients recieved ECG at the period of inactive AI-ECG system.

Locations (1)

National Defense Medical Center

Taipei, Taiwan

Outcomes

Primary Outcomes

E2C (ECG to coronary angiography) time

Time from ECG to activation of coronary angiography for STEMI patients.

Time frame: Within 6 hours

Secondary Outcomes

E2B (ECG to primary percutaneous coronary intervention) time

Time from ECG to complete of primary percutaneous coronary intervention for STEMI patients.

Time frame: Within 6 hours

D2B (Door to Balloon Time) time

Time from first medical contact to complete of primary percutaneous coronary intervention for STEMI patients in emergency department.

Time frame: Within 6 hours

D2C (Door to coronary angiography) time

Time from first medical contact to activation of coronary angiography for STEMI patients in emergency department.

Time frame: Within 6 hours

Ejection fractrion

Ejection fractrion primary percutaneous coronary intervention for STEMI patients.

Time frame: Within 3 days

Highest concentration of high-sensitivity cardiac troponin I

After performing an electrocardiogram, the highest concentration of high-sensitivity cardiac troponin I was followed.

Time frame: Within 3 days

Highest concentration of creatine kinase

After performing an electrocardiogram, the highest concentration of creatine kinase was followed.

Time frame: Within 3 days

Length of hospitalization

Data from ClinicalTrials.gov

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