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<article article-type="editorial" dtd-version="1.0" xml:lang="en" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">CC</journal-id>
<journal-id journal-id-type="nlm-ta">Cardiol Croat</journal-id>
<journal-title-group>
<journal-title>Cardiologia Croatica</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Cardiol. Croat.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">1848-543X</issn>
<issn pub-type="epub">1848-5448</issn>
<publisher><publisher-name>Croatian Cardiac Society</publisher-name></publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">CC 2026 21_5-6_123-9</article-id>
<article-id pub-id-type="doi">10.15836/ccar2026.123</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Editorial</subject></subj-group>
</article-categories>
<title-group>
<article-title>Artificial intelligence structures the information; cardiologists turn it into an art</article-title>
<trans-title-group xml:lang="hr">
<trans-title>Umjetna inteligencija strukturira informacije &#x2013; kardiolog donosi klini&#x010D;ki smisao</trans-title>
</trans-title-group>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6426-6831</contrib-id><name><surname>Ivanu&#x0161;a</surname><given-names>Mario</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3137-5775</contrib-id><name><surname>Ivanu&#x0161;a</surname><given-names>Domagoj</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib>
<aff id="aff1"><label>1</label><institution>Poliklinika za prevenciju kardiovaskularnih bolesti i rehabilitaciju</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Hrvatska</country></aff>
<aff id="aff2"><label>2</label><institution>Sveu&#x010D;ili&#x0161;te u Rijeci, Medicinski fakultet</institution>, <addr-line>Rijeka</addr-line>, <country country="hr">Hrvatska</country></aff>
<aff id="aff3"><label>3</label><institution>Zdravstveno veleu&#x010D;ili&#x0161;te Zagreb</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Hrvatska</country></aff>
<aff id="aff4"><label>4</label><institution>MatchMindz</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Hrvatska</country></aff>
<aff id="aff5"><label>1</label><institution>Institute for Cardiovascular Prevention and Rehabilitation</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Croatia</country></aff>
<aff id="aff6"><label>2</label><institution>University of Rijeka</institution>, <institution content-type="dept">Faculty of Medicine</institution>, <addr-line>Rijeka</addr-line>, <country country="hr">Croatia</country></aff>
<aff id="aff7"><label>3</label><institution>University of Applied Health Sciences</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Croatia</country></aff>
<aff id="aff8"><label>4</label><institution>MatchMindz</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Croatia</country></aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><label>*</label>ADDRESS FOR CORRESPONDENCE: Mario Ivanu&#x0161;a, Poliklinika za prevenciju kardiovaskularnih bolesti i rehabilitaciju, Dra&#x0161;kovi&#x0107;eva 13, HR-10000 Zagreb, Croatia. / Phone: +385-1-4612-290 / Fax: +385-1-4612-343 /, E-mail: <email xlink:href="mario.ivanusa@uniri.hr">mario.ivanusa@uniri.hr</email></corresp></author-notes>
<pub-date date-type="pub" publication-format="electronic"><month>06</month><year>2026</year></pub-date>
<pub-date date-type="pub" publication-format="print"><month>06</month><year>2026</year></pub-date>
<volume>21</volume>
<issue>5-6</issue>
<fpage>123</fpage>
<lpage>129</lpage>
<history>
<date date-type="received"><day>29</day><month>05</month><year>2026</year></date>
<date><day>05</day><month>06</month><year>2026</year></date>
<date><day>10</day><month>06</month><year>2026</year></date>
</history>
<permissions>
<copyright-statement>Croatian Cardiac Society</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Croatian Cardiac Society</copyright-holder>
</permissions>
</article-meta>
</front>
<body>
<p>In recent decades, the way we read and consume information has undergone a number of substantial transformations. (<xref ref-type="bibr" rid="r1"><italic>1</italic></xref>) Although learning by using traditional sources remains the primary means of acquiring knowledge in medical education, the digital era has introduced new models for accessing scientific and professional literature, enabling the format the information is presented in to be tailored to specific search queries and individual preferences while remaining accessible within only a few interactions. However, as a consequence of the digital transformation, reduced attention span and diminished focus are frequently highlighted concerns. Therefore, achieving an appropriate balance between traditional sources and the digital environment is essential for optimal medical education.</p>
<p>One of the greatest challenges in cardiology is the vast influx of data generated by published clinical studies and the often contradictory nature of their findings. (<xref ref-type="bibr" rid="r2"><italic>2</italic></xref>) When searching for answers, navigating traditional online databases such as PubMed may require hours of effort and still yield inconclusive results. Artificial intelligence (AI), in combination with digital reading, has fundamentally changed the way we access the entire body of medical knowledge. Contemporary AI tools enable rapid, in-depth analysis of textual content through the identification of key concepts and arguments, while also being able to generate textual content based on previous model training. (<xref ref-type="bibr" rid="r3"><italic>3</italic></xref>-<xref ref-type="bibr" rid="r5"><italic>5</italic></xref>)</p>
<p>The aim of this editorial is to describe how artificial intelligence is changing the interpretation of cardiology literature. Using the curated digital archive of the Cardiologia Croatica journal as an example, we illustrate the transformation of a high-quality repository of published articles into an educational medical platform equipped with advanced semantic search capabilities, a conversational AI agent, thematic chronology tracking across the journal&#x2019;s corpus, clinical case presentations, and interactive knowledge cards.</p>
<sec sec-type="other1">
<title>Traditional versus digital reading of a cardiology article</title>
<p>The foundation of every academic or professional work lies in the systematic and thorough examination of information. When seeking the results of new research, contemporary cardiologists rarely have the opportunity to read printed versions of medical journals. Instead, they rely on the Internet and various tools designed to facilitate and accelerate information retrieval, including search engines, web browsers that provide brief summary previews (snippets), online databases, and tools powered by AI-powered conversational tools. Today, digital reading also includes interactive visualizations, educational case cards, chronological overviews of specific topics, and similar features. The advantages of digital tools are exploited in numerous additional ways, with some journals generating infographic summaries for each article, podcast interviews with authors, and audio versions of published manuscripts, together with increasing user participation in public discussions through digital communities such as #CardioTwitter. (<xref ref-type="bibr" rid="r6"><italic>6</italic></xref>&#x2013;<xref ref-type="bibr" rid="r9"><italic>9</italic></xref>)</p>
<p>Digital reading of cardiology articles offers more advantages than disadvantages. In the dynamic digital environment characterized predominantly by HTML and PDF formats (often representing an identical copy of the printed edition), vertical scrolling represents one of the main limitations, particularly in articles formatted in multiple columns. Owing to the high level of on-screen distraction, information retention during digital reading is often short-term and focused primarily on key facts. Conversely, the advantages of digital reading include faster information retrieval, enhanced data presentation through interactive multimedia content, rapid dissemination of knowledge, improved reference management, and more effective knowledge networking. These benefits largely explain why cardiologists increasingly consume journal content in digital environments. (<xref ref-type="bibr" rid="r10"><italic>10</italic></xref>&#x2013;<xref ref-type="bibr" rid="r13"><italic>13</italic></xref>)</p>
<p>Advanced AI tools are now transforming digital reading of cardiology articles from passive text consumption into an interactive and highly efficient analytical process. Their application can rapidly summarize and simplify research findings, assist in manuscript preparation and editing, and generate novel educational materials. However, studies have also identified important limitations in the application of AI-based tools, including the misinterpretation of results (&#x201C;hallucinations&#x201D;), the generation of inaccurate references, and related shortcomings. Consequently, verification of information sources and careful assessment of AI-generated outputs remain essential before their application in real-world settings. (<xref ref-type="bibr" rid="r14"><italic>14</italic></xref>-<xref ref-type="bibr" rid="r16"><italic>16</italic></xref>)</p>
</sec>
<sec sec-type="other2">
<title>When a cardiology article speaks</title>
<p>In the spring of 2026, the well-curated digital archive of the Cardiologia Croatica journal evolved into something more than a repository of published articles. A clearly structured and editorially curated archive comprising 2,124 XML files, maintained since 2014, (<xref ref-type="bibr" rid="r17"><italic>17</italic></xref>) was transformed, with the assistance of a generative AI model, into a searchable and educationally valuable system that is changing the way cardiology knowledge is disseminated, acquired, and critically evaluated (<xref ref-type="fig" rid="f1"><bold>Figure 1</bold></xref>). Whereas search results were lexical in nature until 2025 (i.e., based on conventional keyword matching), the new biomedical search engine powered by advanced AI methodology is capable of understanding medical context and user intent. This &#x201C;conversation with the journal&#x201D; approach, enabled through AI-assisted semantic search (<xref ref-type="fig" rid="f2"><bold>Figure 2</bold></xref>), helps users to not only identify all relevant results more efficiently (<xref ref-type="fig" rid="f3"><bold>Figure 3</bold></xref>) but also gain a deeper understanding of how a particular topic has evolved throughout the journal&#x2019;s publication history (<xref ref-type="fig" rid="f4"><bold>Figure 4</bold></xref>). Vector search methods (identifying relevance and contextual relationships) coupled with reduced informational noise (irrelevant data), represent key methodologies used by the AI model to retrieve relevant content accurately and efficiently. Structured filters allow users to refine search results according to author, publication year, article type, DOI, and ORCID identifiers. Responses are generated exclusively from archived journal content and are accompanied by source references. This feature is particularly important in professional and educational settings, as users must be able to verify sources, access original articles, and incorporate them into further research, writing, or learning activities. In addition to thematic chronology, the educational layer of the system includes clinical case presentations and interactive knowledge cards that guide users toward a deeper understanding of a given topic, enabling users to identify connections between sources and critically evaluate the scientific literature. Such capabilities are important because the primary challenge today often is often not limited access to scientific literature, but rather information overload and the difficulty of navigating the large volume of texts in the available literature.</p>
<fig id="f1" position="float" fig-type="figure"><label>FIGURE 1</label><caption><p>Conversation with the <italic>Cardiologia Croatica</italic> journal (image generated by ChatGPT, May 7, 2026).</p></caption><graphic xlink:href="CC202621_5-6_123-9-f1"></graphic></fig>
<fig id="f2" position="float" fig-type="figure"><label>FIGURE 2</label><caption><p><italic>Cardiologia Croatica</italic> journal &#x2013; (advanced) search feature.</p></caption><graphic xlink:href="CC202621_5-6_123-9-f2"></graphic></fig>
<fig id="f3" position="float" fig-type="figure"><label>FIGURE 3</label><caption><p><italic>Cardiologia Croatica</italic> &#x2013; AI Journal Research Assistant.</p></caption><graphic xlink:href="CC202621_5-6_123-9-f3"></graphic></fig>
<fig id="f4" position="float" fig-type="figure"><label>FIGURE 4</label><caption><p><italic>Cardiologia Croatica</italic> &#x2013; Research topic timeline and AI overview of key contributing articles.</p></caption><graphic xlink:href="CC202621_5-6_123-9-f4"></graphic></fig>
<p>At the level of the publishing industry, several solutions have emerged that aim to simplify interaction with databases containing hundreds of thousands of journals and articles, further validating this developmental approach. For example, Oxford Academic, the publisher of leading journals of the European Society of Cardiology, has integrated advanced AI technologies based on the OpenAI ChatGPT models and semantic search tools as the foundation of its database retrieval architecture, commonly referred to as Retrieval-Augmented Generation (RAG) technology. The Oxford Academic AI Discovery Assistant searches databases and clinical guidelines according to the underlying meaning of terms rather than relying solely on exact keyword matches. Information retrieval moves from hours to seconds with only a few interactions necessary to access any information, while the RAG architecture and vector searches address one of the major limitations of conventional AI applications in medicine &#x2013; reliability. First, semantic search identifies the medical context of the query, and the system then searches a database of published literature and extracts the most relevant passages, which are supplied to the language model as the sole permissible source of information. This approach eliminates the risk of fabricated content or data. The AI model subsequently generates a clear response to the query within seconds while simultaneously providing references to the original publications. (<xref ref-type="bibr" rid="r14"><italic>14</italic></xref>, <xref ref-type="bibr" rid="r15"><italic>15</italic></xref>, <xref ref-type="bibr" rid="r18"><italic>18</italic></xref>) Vector and semantic search technologies are also being increasingly incorporated into bibliographic and citation databases. The Wolters Kluwer company has introduced Ovid<sup>&#x00AE;</sup> Discovery AI, which enables literature retrieval and filtering based on the PICO(T) clinical questions and methodology (population, intervention, comparison, outcome, and time). (<xref ref-type="bibr" rid="r19"><italic>19</italic></xref>) Elsevier&#x2019;s AI Discovery is a platform that enables deep semantic exploration of the Scopus database while also providing graphical representations of interconnected concepts using conceptual mapping, visually linking related research topics and facilitating a broader understanding of a given topic as well as the development of new search strategies. (<xref ref-type="bibr" rid="r20"><italic>20</italic></xref>, <xref ref-type="bibr" rid="r21"><italic>21</italic></xref>)</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusion</title>
<p>The implementation of AI models in the dissemination of knowledge from scientific publications within cardiology is transforming the way medical insights are generated, communicated, and applied. Modern digital reading converts a published article into an interactive process of inquiry, shifting the focus from passive memorization toward dynamic reasoning. The integration of visual and audio formats enables faster comprehension of complex clinical data and extends the reach and impact of scientific publications. However, the success of this process depends on reliable technological systems, clear data sources, and a high degree of professional responsibility on the part of journal editors and publishers.</p>
</sec>
</body>
<back>
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