Evidence map›Paper›PMID 27164184›Full record

ArticleNature communications2016

Arrhythmia risk stratification of patients after myocardial infarction using personalized heart models.

Hermenegild J Arevalo, Fijoy Vadakkumpadan, Eliseo Guallar, Alexander Jebb, Peter Malamas, Katherine C Wu, Natalia A Trayanova

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01076660 (Left Ventricular Structural Predictors of Sudden Cardiac Death [Substudy of), which is not on this map. Cited by 203 papers.

0numbers the graph read from it
0cells of the map it votes in
203citing papers in PubMed
30.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01076660 recruitingnot on this map

Left Ventricular Structural Predictors of Sudden Cardiac Death [Substudy of: Functional Energetics and Imaging for Phenotypic Characterization of Patients at Risk for Sudden Cardiac Death, See Also NCT000181233]

TypeobservationalSponsorJohns Hopkins UniversityRan2003 to 2030Enrolled400ConditionsIschemic Cardiomyopathy, Nonischemic Cardiomyopathy
3 · Its place in the literature

Who cites it

203 citing papers in PubMed, 453 citations in OpenAlex.

  1. Article
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  5. The multi-modal digital heart: From future perspective to challenges.Journal of translational internal medicine · 2026
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  7. Review
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  13. Probabilistic Cardiac Digital Twins for Robust Patient-Specific Modeling.bioRxiv : the preprint server for biology · 2026
    Article
  14. Article
  15. Article
  16. Digital Twin-Guided Ablation for Ventricular Tachycardia.The New England journal of medicine · 2026
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  17. Article
  18. Article
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143 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Hermenegild J ArevaloInstitute for Computational Medicine and Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21218, USA.
Fijoy VadakkumpadanInstitute for Computational Medicine and Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21218, USA.
Eliseo GuallarWelch Center for Prevention, Epidemiology, and Clinical Research, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21287, USA.
Alexander JebbInstitute for Computational Medicine and Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21218, USA.
Peter MalamasInstitute for Computational Medicine and Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21218, USA.
Katherine C WuDivision of Cardiology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA.
Natalia A TrayanovaInstitute for Computational Medicine and Department of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland 21218, USA.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Virtual Electrophysiology LaboratoryDP1HL123271 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TRAYANOVA, NATALIA A. · 2013 to 2017
$4.0M
LV Structural Predictors of Sudden Cardiac DeathR01HL103812 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI WU, KATHERINE C · 2010 to 2013
$1.4M
NHLBI NIH HHS DP1 HL123271NHLBI NIH HHS R01 HL103812
6 · The paper itself

Abstract

Sudden cardiac death (SCD) from arrhythmias is a leading cause of mortality. For patients at high SCD risk, prophylactic insertion of implantable cardioverter defibrillators (ICDs) reduces mortality. Current approaches to identify patients at risk for arrhythmia are, however, of low sensitivity and specificity, which results in a low rate of appropriate ICD therapy. Here, we develop a personalized approach to assess SCD risk in post-infarction patients based on cardiac imaging and computational modelling. We construct personalized three-dimensional computer models of post-infarction hearts from patients' clinical magnetic resonance imaging data and assess the propensity of each model to develop arrhythmia. In a proof-of-concept retrospective study, the virtual heart test significantly outperformed several existing clinical metrics in predicting future arrhythmic events. The robust and non-invasive personalized virtual heart risk assessment may have the potential to prevent SCD and avoid unnecessary ICD implantations.

Indexed as

Arrhythmias, CardiacDeath, Sudden, CardiacHeartHumansImaging, Three-DimensionalModels, BiologicalMyocardial InfarctionRetrospective StudiesRisk AssessmentUser-Computer Interface

Identifiers

PMID27164184
PMCPMC4866040
OpenAlexW2367512715

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.