Evidence map›Paper›PMID 33526938›Full record

ReviewNature reviews. Cardiology2021

Artificial intelligence-enhanced electrocardiography in cardiovascular disease management.

Konstantinos C Siontis, Peter A Noseworthy, Zachi I Attia, Paul A Friedman

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07774689 (Utilization of AI-ECG for Preoperative Cardiovascular Risk Stratification in General Surgery), which is not on this map. Cited by 386 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
386citing papers in PubMed, 4 pooled it
83.2field-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.

NCT07774689 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Utilization of AI-ECG for Preoperative Cardiovascular Risk Stratification in General Surgery: A Randomized Controlled Trial

TypeinterventionalSponsorSeoul National University Bundang HospitalRan2026 to 2029Enrolled3,200ConditionsPerioperative Cardiovascular Risk, Postoperative Complications (Cardiopulmonary), Preoperative CareArmsAI-ECG-based preoperative risk stratification (ECG Buddy)
3 · Its place in the literature

Who cites it

386 citing papers in PubMed, 4 syntheses or guidelines pooled it, 810 citations in OpenAlex.

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326 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

4 authors at 2 institutions in 1 country.

Konstantinos C SiontisDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Peter A NoseworthyDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Zachi I AttiaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-9706-7900
Paul A FriedmanDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA. friedman.paul@mayo.edu.ORCID http://orcid.org/0000-0001-5052-2948
Mayo Clinic in Arizona · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The application of artificial intelligence (AI) to the electrocardiogram (ECG), a ubiquitous and standardized test, is an example of the ongoing transformative effect of AI on cardiovascular medicine. Although the ECG has long offered valuable insights into cardiac and non-cardiac health and disease, its interpretation requires considerable human expertise. Advanced AI methods, such as deep-learning convolutional neural networks, have enabled rapid, human-like interpretation of the ECG, while signals and patterns largely unrecognizable to human interpreters can be detected by multilayer AI networks with precision, making the ECG a powerful, non-invasive biomarker. Large sets of digital ECGs linked to rich clinical data have been used to develop AI models for the detection of left ventricular dysfunction, silent (previously undocumented and asymptomatic) atrial fibrillation and hypertrophic cardiomyopathy, as well as the determination of a person's age, sex and race, among other phenotypes. The clinical and population-level implications of AI-based ECG phenotyping continue to emerge, particularly with the rapid rise in the availability of mobile and wearable ECG technologies. In this Review, we summarize the current and future state of the AI-enhanced ECG in the detection of cardiovascular disease in at-risk populations, discuss its implications for clinical decision-making in patients with cardiovascular disease and critically appraise potential limitations and unknowns.

Indexed as

Artificial IntelligenceCardiovascular DiseasesElectrocardiographyHumans

Identifiers

PMID33526938
PMCPMC7848866
OpenAlexW3127657277

What OpenQuestion holds

Textmetadata
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.