Breakthrough Status for AI Electrocardiogram
FDA has granted Powerful Medical a breakthrough device designation for its PMcardio STEMI artificial intelligence (AI) electrocardiogram model for detecting ST-elevation myocardial infarction (STEMI) and STEMI equivalents — described by the company as a life-threatening cardiac condition requiring immediate intervention.
The electrocardiogram (ECG) remains the primary tool for rapid heart attack diagnostics, but often this standard of care fails to detect them accurately and timely, resulting in critical delays in treatment, according to the company. “PMcardio is the only solution capable of detecting both STEMI and STEMI equivalents on the ECG — aligning with the emerging emphasis on a paradigm shift towards Occlusion Myocardial Infarction (OMI) and bridging a vital gap in early, precise heart attack diagnosis,” it says.
The AI model was developed using almost 19,000 ECGs with suspected acute coronary syndromes (ACS) from an international database with clinically validated outcomes, according to the company. The model was evaluated in an international cohort and compared with STEMI criteria and ECG experts in detecting OMI, it says. The primary outcome of OMI was an acutely occluded or flow-limiting culprit artery requiring emergent revascularization. The company says the AI model “demonstrates superior accuracy to detect acute OMI when compared with STEMI criteria. This suggests its potential to improve ACS triage, ensuring appropriate and timely referral for immediate revascularization.”