Effectiveness of the GPT-4o Model in Interpreting Electrocardiogram Images for Cardiac Diagnostics: Diagnostic Accuracy Study

Haya Engelstein   ^{1 *} , MD ;   Roni Ramon-Gonen   ^{2 *} , PhD ;   Avi Sabbag   ^{3, 4} , MD ;   Eyal Klang   ^{5, 6} , MD ;   Karin Sudri   ⁷ , MA ;   Michal Cohen-Shelly   ^{7 *} , BSc, MBA ;   Israel Barbash   ^{4, 8 *} , MD

¹ Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel

² The Graduate School of Business Administration, Information Systems Program, Bar-Ilan University, Ramat Gan, Israel

³ Davidai Arrhythmia Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel

⁴ Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

⁵ Division of Data-Driven and Digital Medicine (D3M), Icahn School of Medicine at Mount Sinai, New York, NY, USA

⁶ The Charles Bronfman Institute of Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA

⁷ Sheba ARC, Sagol Big Data and AI Hub, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel

⁸ Interventional Cardiology Unit, Leviev Heart Center, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel

*these authors contributed equally