Pre-hospital prediction of transmural myocardial infarction and the need of acute coronary reperfusion by an artificial neural network compared to real-time prediction by a cardiac care unit physician

Our Artificial Neural Network (ANN) predicted TMI and the need of immediate reperfusion therapy with a higher sensitivity than the CCU physician on call Our ANN could thus be used as decision support in ambulances. The value would primarily be in ruling out TMI and the need of immediate reperfusion When the ANN suggests immediate reperfusion, the CCU physician would still have to be consulted in order to reduce unnecessary immediate PCIs.