Researchers have shown that AI can analyse coronary scans after a heart attack and predict future risks better than traditional review. The findings come from the PECTUS-AI study, published in the European Heart Journal.

Using optical coherence tomography, the AI algorithm identified vulnerable plaques across entire artery segments.

Patients with these thin-cap fibroatheromas were found to have significantly higher rates of death, repeat heart attacks or unplanned procedures over two years.

Manual frame-by-frame review by specialists remains time-consuming and inconsistent, while AI delivers a faster and more standardised assessment.

Researchers say further validation is needed before routine adoption, but the technology could play an important role in secondary prevention.