Evidence map›Paper›PMID 35207802›Full record

ArticleJournal of personalized medicine2022

Artificial Intelligence-Enabled Electrocardiogram Estimates Left Atrium Enlargement as a Predictor of Future Cardiovascular Disease.

Yu-Sheng Lou, Chin-Sheng Lin, Wen-Hui Fang, Chia-Cheng Lee, Ching-Liang Ho, Chih-Hung Wang, Chin Lin

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Yu-Sheng LouGraduate Institutes of Life Sciences, National Defense Medical Center, No.161, Min-Chun E. Rd., Section 6, Neihu, Taipei 114, Taiwan.
Chin-Sheng LinDivision of Cardiology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No 325, Cheng-Kung Rd., Section 2, Neihu, Taipei 114, Taiwan.ORCID 0000-0002-5167-8327
Wen-Hui FangDepartment of Family and Community Medicine, Tri-Service General Hospital, National Defense Medical Center, No 325, Cheng-Kung Rd., Section 2, Neihu, Taipei 114, Taiwan.
Chia-Cheng LeeDepartment of Medical Informatics, Tri-Service General Hospital, National Defense Medical Center, No 325, Cheng-Kung Rd., Section 2, Neihu, Taipei 114, Taiwan.
Ching-Liang HoDivision of Hematology and Oncology, Tri-Service General Hospital, National Defense Medical Center, No 325, Cheng-Kung Rd., Section 2, Neihu, Taipei 114, Taiwan.
Chih-Hung WangDepartment of Otolaryngology-Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, No 325, Cheng-Kung Rd., Section 2, Neihu, Taipei 114, Taiwan.ORCID 0000-0001-5058-4356
Chin LinGraduate Institutes of Life Sciences, National Defense Medical Center, No.161, Min-Chun E. Rd., Section 6, Neihu, Taipei 114, Taiwan.ORCID 0000-0003-2337-2096
Tri-Service General Hospital · TWNational Defense Medical Center · TW

Funding

the Cheng Hsin General Hospital, Taiwan CHNDMC-111-07the Ministry of Science and Technology, Taiwan MOST110-2314-B-016-010-MY3the Ministry of Science and Technology, Taiwan MOST110-2321-B-016-002the Tri-Service General Hospital, Taiwan TSGH-B-110009
6 · The paper itself

Abstract

backgroundLeft atrium enlargement (LAE) can be used as a predictor of future cardiovascular diseases, including hypertension (HTN) and atrial fibrillation (Afib). Typical electrocardiogram (ECG) changes have been reported in patients with LAE. This study developed a deep learning model (DLM)-enabled ECG system to identify patients with LAE.

methodPatients who had ECG records with corresponding echocardiography (ECHO) were included. There were 101,077 ECGs, 20,510 ECGs, 7611 ECGs, and 11,753 ECGs in the development, tuning, internal validation, and external validation sets, respectively. We evaluated the performance of a DLM-enabled ECG for diagnosing LAE and explored the prognostic value of ECG-LAE for new-onset HTN, new-onset stroke (STK), new-onset mitral regurgitation (MR), and new-onset Afib.

resultsThe DLM-enabled ECG achieved AUCs of 0.8127/0.8176 for diagnosing mild LAE, 0.8587/0.8688 for diagnosing moderate LAE, and 0.8899/0.8990 for diagnosing severe LAE in the internal/external validation sets. Notably, ECG-LAE had higher prognostic value compared to ECHO-LAE, which had C-indices of 0.711/0.714 compared to 0.695/0.692 for new-onset HTN, 0.676/0.688 compared to 0.663/0.677 for new-onset STK, 0.696/0.695 compared to 0.676/0.673 for new-onset MR, and 0.800/0.806 compared to 0.786/0.760 for new-onset Afib in internal/external validation sets, respectively.

conclusionsA DLM-enabled ECG could be considered as a LAE screening tool and provide better prognostic information for related cardiovascular diseases.

Indexed as

artificial intelligencedeep learningelectrocardiogramleft atriumleft atrium enlargementnew-onset atrial fibrillationnew-onset hypertensionnew-onset mitral regurgitationnew-onset stroke

Identifiers

PMID35207802
PMCPMC8879964
OpenAlexW4214491705

What OpenQuestion holds

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LicenceCC BY
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.