✅ 2-stage pipeline: EHR gate (90% sensitivity) ➝ AI-ECG
📈 Temporal validation (n=5,198): median F1 +0.25 (0.09–0.75)
📉 False positives −303 across 26 SHD labels
🌍 External: UKB (n=33,518) FP −819; MIMIC-IV (n=3,628) FP −255
✅ 2-stage pipeline: EHR gate (90% sensitivity) ➝ AI-ECG
📈 Temporal validation (n=5,198): median F1 +0.25 (0.09–0.75)
📉 False positives −303 across 26 SHD labels
🌍 External: UKB (n=33,518) FP −819; MIMIC-IV (n=3,628) FP −255