Evidence map›Paper›PMID 33185118›Full record

ArticleCirculation. Arrhythmia and electrophysiology2020

Artificial Intelligence-Electrocardiography to Predict Incident Atrial Fibrillation: A Population-Based Study.

Georgios Christopoulos, Jonathan Graff-Radford, Camden L Lopez, Xiaoxi Yao, Zachi I Attia, Alejandro A Rabinstein, Ronald C Petersen, David S Knopman, Michelle M Mielke, Walter Kremers and 4 more

Abstract read
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 84 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

84 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Electrocardiographic Predictors of Atrial Fibrillation.Medical sciences (Basel, Switzerland) · 2023
    Pooled it
  3. Review
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  9. Artificial Intelligence-Enhanced Electrocardiography for Predicting Paroxysmal Atrial Fibrillation From Sinus Rhythm: Impact of Data Integration Across Institutions and Devices.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
    Article
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  19. Atrial fibrillation in continuous flow-left ventricular assist device (CF-LVAD) patients: impact on pathophysiology.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025
    Review
  20. Article

24 more citing papers are in PubMed but not listed here.

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

14 authors.

Georgios ChristopoulosDepartment of Cardiovascular Medicine (G.C., X.Y., Z.I.A., K.C.S., P.A.F., P.A.N.), Mayo Clinic, Rochester, MN.
Jonathan Graff-RadfordDepartment of Neurology (J.G.-R., A.A.R., R.C.P., D.S.K., M.M.M., W.K., P.V.), Mayo Clinic, Rochester, MN.
Camden L LopezDepartment of Health Sciences Research (C.L.L., X.Y., R.C.P., M.M.M., W.K.), Mayo Clinic, Rochester, MN.
Xiaoxi YaoDepartment of Cardiovascular Medicine (G.C., X.Y., Z.I.A., K.C.S., P.A.F., P.A.N.), Mayo Clinic, Rochester, MN.
Zachi I AttiaDepartment of Cardiovascular Medicine (G.C., X.Y., Z.I.A., K.C.S., P.A.F., P.A.N.), Mayo Clinic, Rochester, MN.
Alejandro A RabinsteinDepartment of Neurology (J.G.-R., A.A.R., R.C.P., D.S.K., M.M.M., W.K., P.V.), Mayo Clinic, Rochester, MN.
Ronald C PetersenDepartment of Neurology (J.G.-R., A.A.R., R.C.P., D.S.K., M.M.M., W.K., P.V.), Mayo Clinic, Rochester, MN.
David S KnopmanDepartment of Neurology (J.G.-R., A.A.R., R.C.P., D.S.K., M.M.M., W.K., P.V.), Mayo Clinic, Rochester, MN.
Michelle M MielkeDepartment of Neurology (J.G.-R., A.A.R., R.C.P., D.S.K., M.M.M., W.K., P.V.), Mayo Clinic, Rochester, MN.
Walter KremersDepartment of Neurology (J.G.-R., A.A.R., R.C.P., D.S.K., M.M.M., W.K., P.V.), Mayo Clinic, Rochester, MN.
Prashanthi VemuriDepartment of Neurology (J.G.-R., A.A.R., R.C.P., D.S.K., M.M.M., W.K., P.V.), Mayo Clinic, Rochester, MN.
Konstantinos C SiontisDepartment of Cardiovascular Medicine (G.C., X.Y., Z.I.A., K.C.S., P.A.F., P.A.N.), Mayo Clinic, Rochester, MN.
Paul A FriedmanDepartment of Cardiovascular Medicine (G.C., X.Y., Z.I.A., K.C.S., P.A.F., P.A.N.), Mayo Clinic, Rochester, MN.
Peter A NoseworthyDepartment of Cardiovascular Medicine (G.C., X.Y., Z.I.A., K.C.S., P.A.F., P.A.N.), Mayo Clinic, Rochester, MN.

Funding

SUPPLEMENT TO ALZHEIMERS DISEASE PATIENT REGISTRYU01AG006786 · NIA · MAYO CLINIC ROCHESTER · PI GRAFF-RADFORD, JONATHAN, JACK, CLIFFORD R. · 1986 to 2023
$49.6M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
Optimizing stroke prevention for older adults with atrial fibrillation: Towards rigorous evaluation and judicious application of a new deviceR01AG062436 · NIA · MAYO CLINIC ROCHESTER · PI NOSEWORTHY, PETER A, YAO, XIAOXI · 2020 to 2024
$2.5M
Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology ProjectR33AG058738 · NIA · MAYO CLINIC ROCHESTER · PI LEBRASSEUR, NATHAN K, OLSON, JANET E · 2020 to 2022
$2.4M
Pairing Observational and Patient-level Clinical Trial Data to Assess Cardiovascular Risk Reduction with Catheter Ablation for Atrial FibrillationR21HL140205 · NHLBI · MAYO CLINIC ROCHESTER · PI NOSEWORTHY, PETER A, YAO, XIAOXI · 2017 to 2018
$256k
NHLBI NIH HHS R21 HL140205NIA NIH HHS R01 AG034676NIA NIH HHS R01 AG062436NIA NIH HHS R33 AG058738NIA NIH HHS U01 AG006786
6 · The paper itself

Abstract

backgroundAn artificial intelligence (AI) algorithm applied to electrocardiography during sinus rhythm has recently been shown to detect concurrent episodic atrial fibrillation (AF). We sought to characterize the value of AI-enabled electrocardiography (AI-ECG) as a predictor of future AF and assess its performance compared with the CHARGE-AF score (Cohorts for Aging and Research in Genomic Epidemiology-AF) in a population-based sample.

methodsWe calculated the probability of AF using AI-ECG, among participants in the population-based Mayo Clinic Study of Aging who had no history of AF at the time of the baseline study visit. Cox proportional hazards models were fit to assess the independent prognostic value and interaction between AI-ECG AF model output and CHARGE-AF score. C statistics were calculated for AI-ECG AF model output, CHARGE-AF score, and combined AI-ECG and CHARGE-AF score.

resultsA total of 1936 participants with median age 75.8 (interquartile range, 70.4-81.8) years and median CHARGE-AF score 14.0 (IQR, 13.2-14.7) were included in the analysis. Participants with AI-ECG AF model output of >0.5 at the baseline visit had cumulative incidence of AF 21.5% at 2 years and 52.2% at 10 years. When included in the same model, both AI-ECG AF model output (hazard ratio, 1.76 per SD after logit transformation [95% CI, 1.51-2.04]) and CHARGE-AF score (hazard ratio, 1.90 per SD [95% CI, 1.58-2.28]) independently predicted future AF without significant interaction (

conclusionsIn the present study, both the AI-ECG AF model output and CHARGE-AF score independently predicted incident AF. The AI-ECG may offer a means to assess risk with a single test and without requiring manual or automated clinical data abstraction.

Indexed as

ElectrocardiographyHeart RateMachine LearningSignal Processing, Computer-AssistedAction PotentialsAgedAged, 80 and overAtrial FibrillationFemaleHeart Conduction SystemHumansIncidenceMalePredictive Value of TestsRisk AssessmentRisk Factorsartificial intelligenceatrial fibrillationelectrocardiographyhazard ratioincidence

Identifiers

PMID33185118
PMCPMC8127001

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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.