Evidence map›Paper›PMID 36712398›Full record

ArticleEuropean heart journal. Digital health2021

Advanced heart sound analysis as a new prognostic marker in stable coronary artery disease.

Simon Winther, Louise Nissen, Samuel Emil Schmidt, Jelmer Westra, Ina Trolle Andersen, Mette Nyegaard, Lene Helleskov Madsen, Lars Lyhne Knudsen, Grazina Urbonaviciene, Bjarke Skogstad Larsen and 6 more

Erratum issued Registry-linked trialAbstract 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 NCT02264717 (Dan-NICAD - Danish Study of Non-Invasive Diagnostic Testing in Coronary Artery Disease), which is not on this 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.

NCT02264717 nacompletednot on this map

Dan-NICAD - Danish Study of Non-Invasive Diagnostic Testing in Coronary Artery Disease

TypeinterventionalSponsorUniversity of AarhusRan2014 to 2016Enrolled1,676ConditionsAngina Pectoris, Arteriosclerosis, Coronary Artery Disease, Myocardial IschemiaArmsSPECT, Cardiac MRI
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Extraction of Acoustic Features via Empirical Wavelet Transform to Determine Stenosis Degree of the Left Anterior Descending Artery Based on the Diastolic Heart Sounds of 75 Participants.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Emerging Wearable Acoustic Sensing Technologies.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  7. Federated Abnormal Heart Sound Detection with Weak to No Labels.Cyborg and bionic systems (Washington, D.C.) · 2024
    Article
  8. Review
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Simon WintherDepartment of Cardiology, Gødstrup Hospital, Hospitalsparken 15, 7400 Herning, Denmark.ORCID https://orcid.org/0000-0001-8872-3681
Louise NissenDepartment of Cardiology, Gødstrup Hospital, Hospitalsparken 15, 7400 Herning, Denmark.ORCID https://orcid.org/0000-0001-5885-9537
Samuel Emil SchmidtDepartment of Health Science and Technology, Aalborg University, Fredrik Bajers Vej 7D, 9220 Aalborg, Denmark.ORCID https://orcid.org/0000-0002-0917-634X
Jelmer WestraDepartment of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.ORCID https://orcid.org/0000-0002-1926-0844
Ina Trolle AndersenDepartment of Clinical Epidemiology, Aarhus University Hospital, Olof Palmes Allé 43-45, 8200 Aarhus N, Denmark.
Mette NyegaardDepartment of Biomedicine, Aarhus University, Høegh-Guldbergs Gade 10, 8000 Aarhus, Denmark.ORCID https://orcid.org/0000-0003-4973-8543
Lene Helleskov MadsenDepartment of Cardiology, Gødstrup Hospital, Hospitalsparken 15, 7400 Herning, Denmark.
Lars Lyhne KnudsenDepartment of Cardiology, Gødstrup Hospital, Hospitalsparken 15, 7400 Herning, Denmark.
Grazina UrbonavicieneDepartment of Cardiology, Regional Hospital Central Jutland, Falkevej 1A, 8600 Silkeborg, Denmark.
Bjarke Skogstad LarsenDepartment of Health Science and Technology, Aalborg University, Fredrik Bajers Vej 7D, 9220 Aalborg, Denmark.
Johannes Jan StruijkDepartment of Health Science and Technology, Aalborg University, Fredrik Bajers Vej 7D, 9220 Aalborg, Denmark.
Lars FrostDepartment of Cardiology, Regional Hospital Central Jutland, Falkevej 1A, 8600 Silkeborg, Denmark.ORCID https://orcid.org/0000-0001-9215-9796
Niels Ramsing HolmDepartment of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.ORCID https://orcid.org/0000-0002-2116-2370
Evald Høj ChristiansenDepartment of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.
Hans Erik BøtkerDepartment of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark.ORCID https://orcid.org/0000-0001-6358-8962
Morten BøttcherDepartment of Cardiology, Gødstrup Hospital, Hospitalsparken 15, 7400 Herning, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Recent technological advances enable diagnosing of obstructive coronary artery disease (CAD) from heart sound analysis with a high negative predictive value. However, the prognostic impact of this approach remains unknown. To investigate the prognostic value of heart sound analysis as two scores, the Acoustic-score and the CAD-score, in patients with suspected CAD which is treated according to standard of care. Methods and results: Consecutive patients with angina symptoms referred for coronary computed tomography angiography (CTA) were enrolled. The Acoustic-score was developed from eight acoustic CAD-related features. This score was combined with risk factors to generate the CAD-score. A cut-off score >20 was pre-specified for both scores to indicate disease. If coronary CTA raised suspicion of obstructive CAD, patients were referred to invasive angiography and revascularized when indicated. Of 1675 enrolled patients, 1464 (87.4%) were included in this substudy. The combined primary endpoint was all-cause mortality and myocardial infarction ( Conclusion: Heart sound analysis seems to carry prognostic information and may improve initial risk stratification of patients with suspected CAD. Clinicaltrialsorg ID: NCT02264717.

Indexed as

Acoustic cardiographyCardiovascular diagnostic techniqueCoronary stenosisHeart soundPrognosis

Identifiers

PMID36712398
PMCPMC9707929

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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.