Evidence map›Paper›PMID 36713608›Full record

ReviewEuropean heart journal. Digital health2021

Applications of artificial intelligence/machine learning approaches in cardiovascular medicine: a systematic review with recommendations.

Sarah Friedrich, Stefan Groß, Inke R König, Sandy Engelhardt, Martin Bahls, Judith Heinz, Cynthia Huber, Lars Kaderali, Marcus Kelm, Andreas Leha and 6 more

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review 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. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. In Silico Clinical Trials in Drug Development: A Systematic Review.Therapeutic innovation & regulatory science · 2026
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  13. State of the Art of Artificial Intelligence in Clinical Electrophysiology in 2025: A Scientific Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), and the ESC Working Group on E-Cardiology.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 6 institutions in 1 country.

Sarah FriedrichDepartment of Medical Statistics, University Medical Center Göttingen, Humboldtallee 32, 37073 Göttingen, Germany.ORCID https://orcid.org/0000-0003-0291-4378
Stefan GroßDepartment of Internal Medicine B, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, Germany.ORCID https://orcid.org/0000-0003-4121-7161
Inke R KönigInstitute of Medical Biometry and Statistics, University of Lübeck, University Medical Center Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23562 Lübeck, Germany.
Sandy EngelhardtDepartment of Internal Medicine III, University Hospital Heidelberg, Im Neuenheimer Feld 420, 69120 Heidelberg, Germany.
Martin BahlsDepartment of Internal Medicine B, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475 Greifswald, Germany.
Judith HeinzDepartment of Medical Statistics, University Medical Center Göttingen, Humboldtallee 32, 37073 Göttingen, Germany.
Cynthia HuberDepartment of Medical Statistics, University Medical Center Göttingen, Humboldtallee 32, 37073 Göttingen, Germany.
Lars KaderaliDZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, Greifswald, Germany.
Marcus KelmInstitute for Imaging Science and Computational Modelling in Cardiovascular Medicine, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.ORCID https://orcid.org/0000-0003-4971-0452
Andreas LehaDepartment of Medical Statistics, University Medical Center Göttingen, Humboldtallee 32, 37073 Göttingen, Germany.
Jasmin RühlDepartment of Medical Statistics, University Medical Center Göttingen, Humboldtallee 32, 37073 Göttingen, Germany.
Jens SchallerInstitute for Imaging Science and Computational Modelling in Cardiovascular Medicine, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany.
Clemens SchererDepartment of Medicine I, University Hospital, LMU Munich, Marchioninistr. 15, 81377 München, Germany.ORCID https://orcid.org/0000-0003-2816-6793
Marcus VollmerDZHK (German Centre for Cardiovascular Research), Partner Site Greifswald, Greifswald, Germany.
Tim SeidlerDZHK (German Centre for Cardiovascular Research), Partner Site Göttingen, Göttingen, Germany.
Tim FriedeDepartment of Medical Statistics, University Medical Center Göttingen, Humboldtallee 32, 37073 Göttingen, Germany.ORCID https://orcid.org/0000-0001-5347-7441
Universitätsmedizin Göttingen · DEUniversitätsmedizin Greifswald · DEGerman Centre for Cardiovascular Research · DEDeutsches Herzzentrum der Charité · DEHeidelberg University · DELMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Artificial intelligence (AI) and machine learning (ML) promise vast advances in medicine. The current state of AI/ML applications in cardiovascular medicine is largely unknown. This systematic review aims to close this gap and provides recommendations for future applications. Methods and results: Pubmed and EMBASE were searched for applied publications using AI/ML approaches in cardiovascular medicine without limitations regarding study design or study population. The PRISMA statement was followed in this review. A total of 215 studies were identified and included in the final analysis. The majority (87%) of methods applied belong to the context of supervised learning. Within this group, tree-based methods were most commonly used, followed by network and regression analyses as well as boosting approaches. Concerning the areas of application, the most common disease context was coronary artery disease followed by heart failure and heart rhythm disorders. Often, different input types such as electronic health records and images were combined in one AI/ML application. Only a minority of publications investigated reproducibility and generalizability or provided a clinical trial registration. Conclusions: A major finding is that methodology may overlap even with similar data. Since we observed marked variation in quality, reporting of the evaluation and transparency of data and methods urgently need to be improved.

Indexed as

Artificial intelligenceCardiologyCardiovascular diseaseMachine learning

Identifiers

PMID36713608
PMCPMC9707954
OpenAlexW3166055687

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.