Evidence map›Paper›PMID 32538136›Full record

ArticleCirculation. Arrhythmia and electrophysiology2020

Machine Learning of 12-Lead QRS Waveforms to Identify Cardiac Resynchronization Therapy Patients With Differential Outcomes.

Albert K Feeny, John Rickard, Kevin M Trulock, Divyang Patel, Saleem Toro, Laurie Ann Moennich, Niraj Varma, Mark J Niebauer, Eiran Z Gorodeski, Richard A Grimm and 3 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Circulation. Arrhythmia and electrophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Artificial intelligence in heart failure.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. BMJ medicine · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Albert K FeenyCleveland Clinic Lerner College of Medicine (A.K.F., N.V., M.J.N., E.Z.G., R.A.G., J.B., M.K.C.), Case Western Reserve University, Cleveland, OH.
John RickardDepartment of Cardiovascular Medicine, Heart and Vascular Institute (J.R., K.M.T., D.P., S.T., L.A.M., N.V., M.J.N., E.Z.G.), Cleveland Clinic, OH.
Kevin M TrulockDepartment of Cardiovascular Medicine, Heart and Vascular Institute (J.R., K.M.T., D.P., S.T., L.A.M., N.V., M.J.N., E.Z.G.), Cleveland Clinic, OH.
Divyang PatelDepartment of Cardiovascular Medicine, Heart and Vascular Institute (J.R., K.M.T., D.P., S.T., L.A.M., N.V., M.J.N., E.Z.G.), Cleveland Clinic, OH.
Saleem ToroDepartment of Cardiovascular Medicine, Heart and Vascular Institute (J.R., K.M.T., D.P., S.T., L.A.M., N.V., M.J.N., E.Z.G.), Cleveland Clinic, OH.
Laurie Ann MoennichDepartment of Cardiovascular Medicine, Heart and Vascular Institute (J.R., K.M.T., D.P., S.T., L.A.M., N.V., M.J.N., E.Z.G.), Cleveland Clinic, OH.
Niraj VarmaCleveland Clinic Lerner College of Medicine (A.K.F., N.V., M.J.N., E.Z.G., R.A.G., J.B., M.K.C.), Case Western Reserve University, Cleveland, OH.
Mark J NiebauerCleveland Clinic Lerner College of Medicine (A.K.F., N.V., M.J.N., E.Z.G., R.A.G., J.B., M.K.C.), Case Western Reserve University, Cleveland, OH.
Eiran Z GorodeskiCleveland Clinic Lerner College of Medicine (A.K.F., N.V., M.J.N., E.Z.G., R.A.G., J.B., M.K.C.), Case Western Reserve University, Cleveland, OH.
Richard A GrimmCleveland Clinic Lerner College of Medicine (A.K.F., N.V., M.J.N., E.Z.G., R.A.G., J.B., M.K.C.), Case Western Reserve University, Cleveland, OH.
John BarnardCleveland Clinic Lerner College of Medicine (A.K.F., N.V., M.J.N., E.Z.G., R.A.G., J.B., M.K.C.), Case Western Reserve University, Cleveland, OH.
Anant MadabhushiDepartment of Biomedical Engineering (A.M.), Case Western Reserve University, Cleveland, OH.
Mina K ChungCleveland Clinic Lerner College of Medicine (A.K.F., N.V., M.J.N., E.Z.G., R.A.G., J.B., M.K.C.), Case Western Reserve University, Cleveland, OH.
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · USLouis Stokes Cleveland VA Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Functional Genomics of Atrial Fibrillation in Human AtriaR01HL111314 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BARNARD, JOHN, CHUNG, MINA KAY · 2012 to 2019
$6.1M
Computerized histologic image predictor of cancer outcomeR01CA202752 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI FELDMAN, MICHAEL D, GANESAN, SHRIDAR · 2016 to 2020
$3.1M
Quantitative Histomorphometric Risk Classifier (QuHbIC) in HPV + Oropharyngeal CarcinomaR01CA220581 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI KOYFMAN, SHLOMO, LEWIS, JAMES · 2018 to 2023
$3.1M
Computerized Histologic Risk Predictor (CHiRP) for Early Stage Lung CancersR01CA216579 · NCI · EMORY UNIVERSITY · PI FU, PINGFU, LLOYD, MARK · 2018 to 2023
$3.1M
MR Fingerprinting and Computerized Decision Support for Prostate CancerR01CA208236 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GULANI, VIKAS, PONSKY, LEE EVAN · 2017 to 2022
$3.0M
Pathology Image Informatics Platform for visualization, analysis and managementU24CA199374 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI GURCAN, METIN NAFI, MADABHUSHI, ANANT · 2015 to 2019
$2.9M
HistoTools: A suite of digital pathology tools for quality control, annotation and dataset identificationU01CA239055 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI JANOWCZYK, ANDREW ROBERT, MADABHUSHI, ANANT · 2019 to 2022
$1.0M
BIOMEDICAL ENGINEERING RESEARCH FACILITIESC06RR012463 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI KUTINA, KENNETH L · 1997 to 1997
–
RadIO: A Novel Radiomics Toolkit to Predict and Characterize Response to Immunotherapy in Stage III Non-Small Cell Lung CancerI01BX004121 · VA · VETERANS HEALTH ADMINISTRATION · PI Anant Madabhushi, Charles J Nock · 2019 to 2026
–
BLRD VA I01 BX004121NCATS NIH HHS UL1 TR002548NCI NIH HHS R01 CA202752NCI NIH HHS R01 CA208236NCI NIH HHS R01 CA216579NCI NIH HHS R01 CA220581NCI NIH HHS U01 CA239055NCI NIH HHS U24 CA199374NCRR NIH HHS C06 RR012463NCRR NIH HHS UL1 RR024989NHLBI NIH HHS R01 HL111314
6 · The paper itself

Abstract

backgroundCardiac resynchronization therapy (CRT) improves heart failure outcomes but has significant nonresponse rates, highlighting limitations in ECG selection criteria: QRS duration (QRSd) ≥150 ms and subjective labeling of left bundle branch block (LBBB). We explored unsupervised machine learning of ECG waveforms to identify CRT subgroups that may differentiate outcomes beyond QRSd and LBBB.

methodsWe retrospectively analyzed 946 CRT patients with conduction delay. Principal component analysis (PCA) dimensionality reduction obtained a 2-dimensional representation of preCRT 12-lead QRS waveforms.

resultsCompared with QRS PCA Group 2 (

conclusionsUnsupervised machine learning of ECG waveforms identified CRT subgroups with relevance beyond LBBB and QRSd. This method may assist in objective classification of bundle branch block morphology in CRT.

Indexed as

Cardiac Resynchronization TherapyDiagnosis, Computer-AssistedElectrocardiographySignal Processing, Computer-AssistedUnsupervised Machine LearningAgedBundle-Branch BlockDisease ProgressionFemaleHeart-Assist DevicesHeart FailureHeart TransplantationHumansMaleMiddle AgedPredictive Value of Testsbundle branch blockcardiac resynchronization therapyelectrocardiographyheart failuremachine learning

Identifiers

PMID32538136
PMCPMC7901121
OpenAlexW3035455071

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.