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Imperial Researchers Develop AI That Flags Heart Disease From ECGs

London, UK

RALPH ORLOWSKI/Reuters

RALPH ORLOWSKI/Reuters

What Happened

Imperial College researchers developed an AI that analyses routine ECGs rapidly and, in testing, detected up to 81% of heart failure and 90% of valve disease cases. Trained on over 1.6 million Brazilian and several million US ECGs, it could help prioritise echocardiograms but needs broader validation.

What Happened

Imperial College researchers developed an AI that analyses routine ECGs rapidly and, in testing, detected up to 81% of heart failure and 90% of valve disease cases. Trained on over 1.6 million Brazilian and several million US ECGs, it could help prioritise echocardiograms but needs broader validation.

Where Sources Agree

  • arrows_inputAI Training Dataset Composition: Reports consistently note that the AI models were trained on 1.6 million ECGs from Brazil, with several million additional recordings from the United States, according to Imperial researchers.
  • arrows_inputClinical Triage Potential: Reports broadly predict the technology will improve patient triage as the Imperial College London study of 67,000 US patients demonstrated the AI can identify 81% of heart failure cases and 90% of valve disease cases.
  • arrows_inputIntended Clinical Use: Sources verify the AI is designed as a triage tool to help prioritize echocardiograms rather than as a replacement for clinical diagnosis, addressing the issue where patients often wait months for these scans, according to Imperial College London researchers.

Where Sources Disagree

  • arrows_outputDiagnostic Accuracy Reporting: Some outlets report the AI's diagnostic accuracy for heart disease as ranging from 83% to 93%, while others emphasize specific detection rates of 81% for heart failure and 90% for valve disease.
  • arrows_outputAI Application Scope: While some reports highlight the AI's ability to identify conditions outside cardiology, including diabetes and kidney disease, other outlets focus exclusively on the system's capacity to detect heart failure and valve disease from routine ECGs.

Timeline

September 1, 2026

Validation and Deployment Next Steps: Researchers emphasise substantial further validation, regulatory approval, and testing in real-world clinical workflows are required before routine use; they see the tool as a triage/prioritisation aid rather than a diagnostic replacement and are exploring handheld ECG readers and wider clinical studies. Experts warned the system will not pick up all cases and noted practical motives such as long waits for echocardiograms.

September 1, 2026

Results Presented and Commercialised: The findings were presented at the European Society of Cardiology annual congress in Munich, and Imperial's team has established a spinout, Cardiovolt.ai, (with BHF-funded work) to support development toward clinical applications and commercialisation. The research has also begun to move beyond the university into broader development efforts.

September 1, 2026

Trial Shows High Detection Rates: In testing covering about 67,000 US patients, the system identified roughly 81% of people with heart failure and 90% of those with valve disease; across the wider programme reported accuracies ranged from about 83% to 93% for heart disease in testing datasets. These results came from trials and validation datasets cited by the researchers.

Summaries by Ground AI

Sources

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