Peer-Reviewed Publication
Int J Cardiol Heart Vasc2019;25100423.December 1, 2019Journal Article

A deep neural network for 12-lead electrocardiogram interpretation outperforms a conventional algorithm, and its physician overread, in the diagnosis of atrial fibrillation.

Stephen W Smith1, Jeremy Rapin2, Jia Li2, Yann Fleureau2, William Fennell3, Brooks M Walsh4, Arnaud Rosier5, Laurent Fiorina6, Christophe Gardella2
1Hennepin County Medical Center, Department of Emergency Medicine, University of Minnesota, United States of America.
2Cardiologs® Technologies, Paris, France.
3University College, Cork, Ireland.
4Dept of Emergency Medicine, Bridgeport Hospital, Bridgeport, CT, United States of America.
5Service de rythmologie, Hôpital privé Jacques Cartier, Groupe GDS, Massy, France.
6Hopital privé Jacques Cartier, Massy, France.

Abstract

BACKGROUND: Automated electrocardiogram (ECG) interpretations may be erroneous, and lead to erroneous overreads, including for atrial fibrillation (AF). We compared the accuracy of the first version of a new deep neural network 12-Lead ECG algorithm (Cardiologs®) to the conventional Veritas algorithm in interpretation of AF. METHODS: 24,123 consecutive 12-lead ECGs recorded over 6 months were int…

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