Evidence map›Paper›PMID 36711179›Full record

ArticleEuropean heart journal. Digital health2021

Artificial intelligence assessment for early detection of heart failure with preserved ejection fraction based on electrocardiographic features.

Joon-Myoung Kwon, Kyung-Hee Kim, Howard J Eisen, Younghoon Cho, Ki-Hyun Jeon, Soo Youn Lee, Jinsik Park, Byung-Hee Oh

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in European heart journal. Digital health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07708818 (DYNAMIC-AF HF Study), which is not on this map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.6field-weighted citation impact, top 5% 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.

NCT07708818 not yet recruitingnot on this mapstarted 2027, after this paper: background citation

DYNAMIC-AF HF Study: An AI-ECG-Based Approach for Dynamic Assessment of Heart Failure Risk and Myocardial Recovery Following Atrial Fibrillation Ablation

TypeobservationalSponsorEwha Womans University Mokdong HospitalRan2027 to 2029Enrolled1,000ConditionsAtrial Fibrillation (AF), Heart Failure With Mildly Reduced Ejection Fraction (HFmrEF)
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 64 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Joon-Myoung KwonDepartment of Critical Care and Emergency Medicine, Mediplex Sejong Hospital, Incheon, South Korea.
Kyung-Hee KimArtificial Intelligence and Big Data Research Center, Sejong Medical Research Institute, Bucheon, South Korea.ORCID https://orcid.org/0000-0003-0708-8685
Howard J EisenPenn State Heart and Vascular Institute, Pennsylvania State University/Milton S. Hershey Medical Center, Hershey, PA, USA.
Younghoon ChoMedical R&D Center, Body Friend, Co. Seoul, South Korea.
Ki-Hyun JeonArtificial Intelligence and Big Data Research Center, Sejong Medical Research Institute, Bucheon, South Korea.ORCID https://orcid.org/0000-0002-6277-7697
Soo Youn LeeArtificial Intelligence and Big Data Research Center, Sejong Medical Research Institute, Bucheon, South Korea.
Jinsik ParkDivision of Cardiology, Cardiovascular Center, Mediplex Sejong Hospital, Incheon, South Korea.
Byung-Hee OhDivision of Cardiology, Cardiovascular Center, Mediplex Sejong Hospital, Incheon, South Korea.
Sejong Institute · KRSejong General Hospital · KRSeoul Medical Center · KRPenn State Milton S. Hershey Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Although heart failure with preserved ejection fraction (HFpEF) is a rapidly emerging global health problem, an adequate tool to screen it reliably and economically does not exist. We developed an interpretable deep learning model (DLM) using electrocardiography (ECG) and validated its performance. Methods and results: This retrospective cohort study included two hospitals. 34 103 patients who underwent echocardiography and ECG within 1 week and indicated normal left ventricular systolic function were included in this study. A DLM based on an ensemble neural network was developed using 32 671 ECGs of 20 169 patients. The internal validation included 1979 ECGs of 1979 patients. Furthermore, we conducted an external validation with 11 955 ECGs of 11 955 patients from another hospital. The endpoint was to detect HFpEF. During the internal and external validation, the area under the receiver operating characteristic curves of a DLM using 12-lead ECG for detecting HFpEF were 0.866 (95% confidence interval 0.850-0.883) and 0.869 (0.860-0.877), respectively. In the 1412 individuals without HFpEF at initial echocardiography, patients whose DLM was defined as having a higher risk had a significantly higher chance of developing HFpEF than those in the low-risk group (33.6% vs. 8.4%, Conclusion: The DLM demonstrated high performance for HFpEF detection using not only a 12-lead ECG but also 6- single-lead ECG. These results suggest that HFpEF can be screened using conventional ECG devices and diverse life-type ECG machines employing the DLM, thereby preventing disease progression.

Indexed as

Artificial intelligenceDeep learningElectrocardiographyHeart failure

Identifiers

PMID36711179
PMCPMC9707919
OpenAlexW3112817906

What OpenQuestion holds

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LicenceCC BY-NC
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.