Evidence map›Paper›PMID 34985951›Full record

ArticleScience advances2022

Dynamic detection and reversal of myocardial ischemia using an artificially intelligent bioelectronic medicine.

Patrick D Ganzer, Masoud S Loeian, Steve R Roof, Bunyen Teng, Luan Lin, David A Friedenberg, Ian W Baumgart, Eric C Meyers, Keum S Chun, Adam Rich and 4 more

Abstract read
In one paragraph

Article in Science advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Review
  2. Materials and System Design for Self-Decision Bioelectronic Systems.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Ethnokinesiology: towards a neuromechanical understanding of cultural differences in movement.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024
    Article
  8. An Integrated Optogenetic and Bioelectronic Platform for Regulating Cardiomyocyte Function.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  9. Article
  10. Article
  11. Review
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.

Patrick D GanzerMedical Devices and Neuromodulation, Battelle Memorial Institute, 505 King Ave., Columbus, OH 43201, USA.ORCID 0000-0003-4260-1624
Masoud S LoeianMedical Devices and Neuromodulation, Battelle Memorial Institute, 505 King Ave., Columbus, OH 43201, USA.ORCID 0000-0003-3496-576X
Steve R RoofQTest Labs, 6456 Fiesta Dr., Columbus, OH 43235, USA.ORCID 0000-0002-4288-1673
Bunyen TengQTest Labs, 6456 Fiesta Dr., Columbus, OH 43235, USA.ORCID 0000-0003-4121-987X
Luan LinHealth Analytics, Battelle Memorial Institute, 505 King Ave., Columbus, OH 43201, USA.
David A FriedenbergHealth Analytics, Battelle Memorial Institute, 505 King Ave., Columbus, OH 43201, USA.ORCID 0000-0002-4404-8941
Ian W BaumgartMedical Devices and Neuromodulation, Battelle Memorial Institute, 505 King Ave., Columbus, OH 43201, USA.ORCID 0000-0001-9743-2181
Eric C MeyersMedical Devices and Neuromodulation, Battelle Memorial Institute, 505 King Ave., Columbus, OH 43201, USA.
Keum S ChunMedical Devices and Neuromodulation, Battelle Memorial Institute, 505 King Ave., Columbus, OH 43201, USA.ORCID 0000-0001-5695-5816
Adam RichHealth Analytics, Battelle Memorial Institute, 505 King Ave., Columbus, OH 43201, USA.
Allison L TsaoCardiovascular Section, Department of Medicine, VA Boston Healthcare System, Boston, MA 02130, USA.ORCID 0000-0002-0586-4575
William W MuirQTest Labs, 6456 Fiesta Dr., Columbus, OH 43235, USA.ORCID 0000-0002-3205-7250
Doug J WeberDepartment of Mechanical Engineering and Neuroscience, Carnegie Mellon University, 5000 Forbes Ave., Pittsburgh, PA 15213, USA.ORCID 0000-0002-9782-3497
Robert L HamlinQTest Labs, 6456 Fiesta Dr., Columbus, OH 43235, USA.ORCID 0000-0002-6296-7917

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myocardial ischemia is spontaneous, frequently asymptomatic, and contributes to fatal cardiovascular consequences. Importantly, myocardial sensory networks cannot reliably detect and correct myocardial ischemia on their own. Here, we demonstrate an artificially intelligent and responsive bioelectronic medicine, where an artificial neural network (ANN) supplements myocardial sensory networks, enabling reliable detection and correction of myocardial ischemia. ANNs were first trained to decode spontaneous cardiovascular stress and myocardial ischemia with an overall accuracy of ~92%. ANN-controlled vagus nerve stimulation (VNS) significantly mitigated major physiological features of myocardial ischemia, including ST depression and arrhythmias. In contrast, open-loop VNS or ANN-controlled VNS following a caudal vagotomy essentially failed to reverse cardiovascular pathophysiology. Last, variants of ANNs were used to meet clinically relevant needs, including interpretable visualizations and unsupervised detection of emerging cardiovascular stress. Overall, these preclinical results suggest that ANNs can potentially supplement deficient myocardial sensory networks via an artificially intelligent bioelectronic medicine system.

Identifiers

PMID34985951
PMCPMC8730601

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Registered trials

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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.