Evidence map›Paper›PMID 36310681›Full record

ArticleCardiovascular digital health journal2022

Artificial intelligence augments detection accuracy of cardiac insertable cardiac monitors: Results from a pilot prospective observational study.

Fabio Quartieri, Manuel Marina-Breysse, Annalisa Pollastrelli, Isabella Paini, Carlos Lizcano, José María Lillo-Castellano, Andrea Grammatico

2 registry-linked trialsAbstract read
In one paragraph

Article in Cardiovascular digital health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

NCT05689970 unknown statusnot on this map

LESTONNAC Study: Observed ST Elevation Does Not Require Acute Cardiac Necrosis

Typeobservational_patient_registrySponsorIdoven 1903 S.L.Ran2022 to 2024Enrolled420ConditionsSTEMI - ST Elevation Myocardial InfarctionArmsAI platform to detect ST elevation in ECG
NCT05890716 recruitingnot on this mapstarted 2023, after this paper: background citation

Evaluation of Electrocardiographic Data From High-risk Cardiac Patients Using Willem™ Cardiologist-level Artificial Intelligence Software. WILLEM Trial.

TypeobservationalSponsorIdoven 1903 S.L.Ran2023 to 2026Enrolled5,342ConditionsCardiomyopathies, Cardiac Arrest, Cardiac Arrhythmias, Sudden Cardiac DeathArmsAI-powered ECG analysis to detect cardiac arrhythmic episodes
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Review
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  12. Current and Future Use of Artificial Intelligence in Electrocardiography.Journal of cardiovascular development and disease · 2023
    Review
  13. Review
  14. Artificial intelligence: Revolutionizing pediatric emergency care - A narrative review.International journal of critical illness and injury science
    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

7 authors.

Fabio QuartieriDepartment of Cardiology, Azienda Ospedaliera S. Maria Nuova, Reggio Emilia, Italy.
Manuel Marina-BreysseIDOVEN Research, AI Team, Madrid, Spain.
Annalisa PollastrelliEMEA CRM Medical Affairs, Abbott, Rome, Italy.
Isabella PainiDepartment of Cardiology, Azienda Ospedaliera S. Maria Nuova, Reggio Emilia, Italy.
Carlos LizcanoIDOVEN Research, AI Team, Madrid, Spain.
José María Lillo-CastellanoIDOVEN Research, AI Team, Madrid, Spain.
Andrea GrammaticoEMEA CRM Medical Affairs, Abbott, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Insertable cardiac monitors (ICMs) are indicated for long-term monitoring of patients with unexplained syncope or who are at risk for cardiac arrhythmias. The volume of ICM-transmitted information may result in long data review times to identify true and clinically relevant arrhythmias. Objective: The purpose of this study was to evaluate whether artificial intelligence (AI) may improve ICM detection accuracy. Methods: We performed a retrospective analysis of consecutive patients implanted with the Confirm Rx Results: During mean follow-up of 23 months, of 20 ICM patients (mean age 68 ± 12 years; 50% women), 19 had 2261 SECGs recordings associated with cardiac arrhythmia detections or patient symptoms. True arrhythmias occurred in 11 patients: asystoles in 2, bradycardias in 3, ventricular tachycardias in 4, and atrial tachyarrhythmias (atrial tachycardia/atrial fibrillation [AT/AF]) in 10; with 6 patients having >1 arrhythmia type. AI algorithm overall accuracy for arrhythmia classification was 95.4%, with 97.19% sensitivity, 94.52% specificity, 89.74% positive predictive value, and 98.55% negative predictive value. Application of AI would have reduced the number of false-positive results by 98.0% overall: 94.0% for AT/AF, 87.5% for ventricular tachycardia, 99.5% for bradycardia, and 98.8% for asystole. Conclusion: Application of AI to ICM-detected episodes is associated with high classification accuracy and may significantly reduce health care staff workload by triaging ICM data.

Indexed as

Artificial intelligenceDetection accuracyInsertable cardiac monitors

Identifiers

PMID36310681
PMCPMC9596320

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.