Abstract:Electrocardiogram (ECG) plays an important role in the diagnosis of cardiovascular diseases, but accurate ECG interpretation requires solid foundation of professional knowledge and rich clinical experience of physicians. Artificial intelligence (AI) has been one of hot research topics at present. Loads of research is devoted to developing AI models based on ECG, trying to elevate the reliability of ECG in diagnosing coronary artery diseases. This review introduces the important advances of AIenabled ECG in the detection of coronary artery lesions, and discusses its clinical significance, development prospects and limitations.