Peer-Reviewed Publication
Eur Heart J Digit Health2026;7(8):ztag133.October 1, 2026Journal Article

Artificial intelligence detection of heart failure on coronary computed tomography angiography: external validation in patients with non-ST-segment elevation acute coronary syndrome.

Anne Sophie Overgaard Olesen1,2,3, Kristina Cecilia Miger1, Silas Nyboe Ørting4, Jens Petersen4, Marleen de Bruijne4,5, Mikael Ploug Boesen2,6, Klaus Fuglsang Kofoed2,7,8, Johannes Grand9, Jens Jakob Thune1,2, Alasdair D Henderson3, Pardeep S Jhund3, Lars Køber2,9, Olav Wendelboe Nielsen1
1Department of Cardiology, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Bispebjerg Bakke 23, 2400 Copenhagen, Denmark.
2Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark.
3British Heart Foundation Cardiovascular Research Centre, School of Cardiovascular and Metabolic Health, University of Glasgow, 126 University Place, G12 8TA Glasgow, UK.
4Department of Computer Science, University of Copenhagen, Copenhagen, Denmark.
5Department of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, Netherlands.
6Department of Radiology, Copenhagen University Hospital-Bispebjerg and Frederiksberg, Copenhagen, Denmark.
7Department of Cardiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
8Department of Radiology, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark.
9Department of Cardiology, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark.

Abstract

AIMS: Heart failure (HF) in non-ST-segment elevation acute coronary syndrome (NSTE-ACS) is associated with poor prognosis but often under-recognized. Coronary computed tomography angiography (CCTA), increasingly used in NSTE-ACS, contains cardiopulmonary features not routinely assessed for HF. We evaluated whether an artificial intelligence (AI) algorithm applied to CCTA could identify HF likeliho…

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