Evidence map›Paper›PMID 35275763›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2022

Ensemble machine learning model identifies patients with HFpEF from matrix-related plasma biomarkers.

Michael Ward, Amirreza Yeganegi, Catalin F Baicu, Amy D Bradshaw, Francis G Spinale, Michael R Zile, William J Richardson

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 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
1.8field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
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  4. Artificial intelligence in heart failure.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026
    Review
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  6. Review
  7. Article
  8. Article
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  10. Guidelines for mechanistic modeling and analysis in cardiovascular research.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  11. 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

7 authors at 3 institutions in 1 country.

Michael WardDepartment of Bioengineering, Clemson University, Clemson, South Carolina.
Amirreza YeganegiDepartment of Bioengineering, Clemson University, Clemson, South Carolina.ORCID 0000-0002-6544-0491
Catalin F BaicuRalph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina.
Amy D BradshawRalph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina.
Francis G SpinaleSchool of Medicine, University of South Carolina, Columbia, South Carolina.ORCID 0000-0003-0529-5605
Michael R ZileRalph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina.
William J RichardsonDepartment of Bioengineering, Clemson University, Clemson, South Carolina.ORCID 0000-0001-8678-9716
Clemson University · USRalph H. Johnson VA Medical Center · USUniversity of South Carolina · US

Funding

Tissue Structural and Neural Remodeling in Human Sacroiliac JointP20GM121342 · NIGMS · CLEMSON UNIVERSITY · PI Hai Yao · 2018 to 2026
$24.7M
Systems Mechanobiology Modeling for Patient-Specific Cardiac Fibrosis PredictionsR01HL144927 · NHLBI · UNIVERSITY OF ARKANSAS AT FAYETTEVILLE · PI RICHARDSON, WILLIAM JAMES · 2019 to 2023
$1.8M
NHLBI NIH HHS R01 HL144927NIGMS NIH HHS P20 GM121342
6 · The paper itself

Abstract

Arterial hypertension can lead to structural changes within the heart including left ventricular hypertrophy (LVH) and eventually heart failure with preserved ejection fraction (HFpEF). The initial diagnosis of HFpEF is costly and generally based on later stage remodeling; thus, improved predictive diagnostic tools offer potential clinical benefit. Recent work has shown predictive value of multibiomarker plasma panels for the classification of patients with LVH and HFpEF. We hypothesized that machine learning algorithms could substantially improve the predictive value of circulating plasma biomarkers by leveraging more sophisticated statistical approaches. In this work, we developed an ensemble classification algorithm for the diagnosis of HFpEF within a population of 480 individuals including patients with HFpEF, patients with LVH, and referent control patients. Algorithms showed strong diagnostic performance with receiver-operating-characteristic curve (ROC) areas of 0.92 for identifying patients with LVH and 0.90 for identifying patients with HFpEF using demographic information, plasma biomarkers related to extracellular matrix remodeling, and echocardiogram data. More impressively, the ensemble algorithm produced an ROC area of 0.88 for HFpEF diagnosis using only demographic and plasma panel data. Our findings demonstrate that machine learning-based classification algorithms show promise as a noninvasive diagnostic tool for HFpEF, while also suggesting priority biomarkers for future mechanistic studies to elucidate more specific regulatory roles.

Indexed as

Heart FailureBiomarkersHumansHypertrophy, Left VentricularMachine LearningStroke VolumeVentricular Function, LeftBiomarkersbiomarkerscardiac fibrosisheart failuremachine learningpersonalized medicine

Identifiers

PMID35275763
PMCPMC8993521
OpenAlexW4220744923

What OpenQuestion holds

Textmetadata
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.