NIH-funded research R01 grant

ECG-BASED smart tools to quickly classify chest pain in emergency care

Official title: Electrocardiographic Detection of Non-ST Elevation Myocardial Events for Accelerated Classification of Chest Pain Encounters (ECG-SMART 2)

Funded at University of Rochester · NIH-11550067 · Data updated 2026-11-12

A patient-focused project to use advanced ECG analysis and machine learning to quickly identify heart problems in people with chest pain when they arrive at the ER.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Rochester
NIH-funded
Lab location1 site (Rochester, United States)
Project startApril 15, 2018
Project endJune 30, 2027
Funding year2026
Award (this year)$19,308
NIH project number3R01HL137761-09S1
Project IDNIH-11550067 on NIH RePORTER

Who could benefit from this research

Could help

Patients who arrive at the emergency department with chest pain and are being evaluated for possible acute coronary syndrome.

Less likely to help

Patients without chest pain or those not at risk for acute coronary syndromes may not benefit from this tool.

What this research studies

This program builds on a large, real-world collection of prehospital ECGs linked to patient outcomes to create an easy-to-use decision support system. It uses machine learning to interpret ECGs and highlight signs of non-ST elevation acute coronary events, aiming for real-time guidance at bedside. The goal is to help clinicians rapidly identify high-risk patients and reduce delays in treatment. The work moves from database development to deployment in everyday emergency care, with external validation to ensure it works in diverse hospital settings.

Why it matters

Potential benefit: If successful, it could speed up accurate risk stratification for chest pain, enabling faster, life-saving decisions.

How similar studies have gone: Prior work has shown that machine learning can improve ECG interpretation and risk prediction in chest pain, with ongoing validation needed for real-time use.

Where this research is happening

  • University of Rochester
    Rochester, United States
    Active

Researchers

  • Principal investigator: Al-Zaiti, Salah S — University of Rochester
  • Study coordinator: Al-Zaiti, Salah S

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.