Artificial intelligence model performance on the overall testing data set. The receiver operating characteristic curve of the occlusion myocardial infarction artificial intelligence model (red) and the sensitivity and specificity of the occlusion myocardial infarction artificial intelligence model optimal threshold (red X), STEMI criteria (green dot), and electrocardiogram experts (purple cross) on combined EU and US testing cohorts. The AUC is 0.938 [n = 2263 contacts (21.61% occlusion myocardial infarction)]. OMI, occlusion myocardial infarction; AI, artificial intelligence; STEMI, ST-elevation myocardial infarction.