Evidence map›Paper›PMID 37278238›Full record

ArticleCirculation. Genomic and precision medicine2023

Genetic Susceptibility to Atrial Fibrillation Identified via Deep Learning of 12-Lead Electrocardiograms.

Xin Wang, Shaan Khurshid, Seung Hoan Choi, Samuel Friedman, Lu-Chen Weng, Christopher Reeder, James P Pirruccello, Pulkit Singh, Emily S Lau, Rachael Venn and 8 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Circulation. Genomic and precision medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07163767 (Acute Myocardial Infarction Prediction Using Artificial Intelligence Applied to Electrocardiogram Images), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-weighted citation impact, top 10% 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.

NCT07163767 active not recruitingnot on this mapstarted 2025, after this paper: background citation

Acute Myocardial Infarction Prediction Using Artificial Intelligence Applied to Electrocardiogram Images

TypeobservationalSponsorGuangdong Provincial People's HospitalRan2025 to 2028Enrolled150,000ConditionsAcute Myocardial Infarction (AMI), Electrocardiography, Artifical IntelligenceArmsDeep learning approach of ECG for AMI detection
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Innovative approaches to atrial fibrillation prediction: should polygenic scores and machine learning be implemented in clinical practice?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 · 2024
    Review
  7. Review
  8. Consider this a WARNing.Patterns (New York, N.Y.) · 2024
    Article
  9. 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

18 authors at 4 institutions in 1 country.

Xin WangCardiovascular Research Center, Department of Medicine (X.W., S.K., L.-C.W., J.P.P., E.S.L., R.V., P.T.E., S.A.L.), Massachusetts General Hospital, Boston.
Shaan KhurshidCardiovascular Research Center, Department of Medicine (X.W., S.K., L.-C.W., J.P.P., E.S.L., R.V., P.T.E., S.A.L.), Massachusetts General Hospital, Boston.ORCID 0000-0002-2840-4539
Seung Hoan ChoiCardiovascular Disease Initiative (X.W., S.K., S.H.C., L.-C.W., J.P.P., E.S.L., P.T.E., S.A.L.), The Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0002-2797-3190
Samuel FriedmanData Sciences Platform (S.F., C.R., P.S., N.D., P.D.A., A.P., P.B.), The Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0002-0688-2169
Lu-Chen WengCardiovascular Research Center, Department of Medicine (X.W., S.K., L.-C.W., J.P.P., E.S.L., R.V., P.T.E., S.A.L.), Massachusetts General Hospital, Boston.ORCID 0000-0003-1475-4930
Christopher ReederData Sciences Platform (S.F., C.R., P.S., N.D., P.D.A., A.P., P.B.), The Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0002-3893-2423
James P PirruccelloCardiovascular Research Center, Department of Medicine (X.W., S.K., L.-C.W., J.P.P., E.S.L., R.V., P.T.E., S.A.L.), Massachusetts General Hospital, Boston.ORCID 0000-0001-6088-4037
Pulkit SinghData Sciences Platform (S.F., C.R., P.S., N.D., P.D.A., A.P., P.B.), The Broad Institute of MIT and Harvard, Cambridge, MA.
Emily S LauCardiovascular Research Center, Department of Medicine (X.W., S.K., L.-C.W., J.P.P., E.S.L., R.V., P.T.E., S.A.L.), Massachusetts General Hospital, Boston.ORCID 0000-0001-9361-6397
Rachael VennCardiovascular Research Center, Department of Medicine (X.W., S.K., L.-C.W., J.P.P., E.S.L., R.V., P.T.E., S.A.L.), Massachusetts General Hospital, Boston.
Nate DiamantData Sciences Platform (S.F., C.R., P.S., N.D., P.D.A., A.P., P.B.), The Broad Institute of MIT and Harvard, Cambridge, MA.
Paolo Di AchilleData Sciences Platform (S.F., C.R., P.S., N.D., P.D.A., A.P., P.B.), The Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0001-9256-0678
Anthony PhilippakisData Sciences Platform (S.F., C.R., P.S., N.D., P.D.A., A.P., P.B.), The Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0001-6953-3794
Christopher D AndersonCenter for Genomic Medicine (C.D.A.), Massachusetts General Hospital, Boston.ORCID 0000-0002-0053-2002
Jennifer E HoDepartment of Medicine, CardioVascular Institute and Division of Cardiology, Beth Israel Deaconess Medical Center, Boston, MA (J.E.H.).ORCID 0000-0002-7987-4768
Patrick T EllinorCardiovascular Research Center, Department of Medicine (X.W., S.K., L.-C.W., J.P.P., E.S.L., R.V., P.T.E., S.A.L.), Massachusetts General Hospital, Boston.ORCID 0000-0002-2067-0533
Puneet BatraData Sciences Platform (S.F., C.R., P.S., N.D., P.D.A., A.P., P.B.), The Broad Institute of MIT and Harvard, Cambridge, MA.ORCID 0000-0001-6822-0593
Steven A LubitzCardiovascular Research Center, Department of Medicine (X.W., S.K., L.-C.W., J.P.P., E.S.L., R.V., P.T.E., S.A.L.), Massachusetts General Hospital, Boston.ORCID 0000-0002-9599-4866
Broad Institute · USBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USMassachusetts General Hospital · US

Funding

Ethnic/Racial Variation in Intracerebral Hemorrhage (ERICH)U01NS069763 · NINDS · UNIVERSITY OF CINCINNATI · PI ANDERSON, CHRISTOPHER DAVID, DEMEL, STACIE · 2010 to 2024
$34.2M
IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
Sequencing Annotation and Functional Analysis in Risk of Intracerebral HemorrhageR01NS103924 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI ANDERSON, CHRISTOPHER DAVID · 2018 to 2022
$3.4M
Genomics of Cardiac ArrhythmiasR01HL139731 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2018 to 2022
$3.3M
Eicosanoid Profiles as Determinants of HFpEFR01HL140224 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2018 to 2021
$3.1M
Using Electrocardiogram Genetics to Inform Arrhythmia RiskR01HL157635 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS, MIRSHAHI, TOORAJ · 2022 to 2025
$2.9M
The Association of Metabolic Disease and Pulmonary HypertensionR01HL134893 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2017 to 2021
$2.9M
Mentoring in Arrhythmia ResearchK24HL105780 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2011 to 2020
$1.2M
HFpEF Susceptibility in Women: The Role of InflammationK23HL159243 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Emily Lau · 2022 to 2026
$1.1M
Mentoring in Patient-Oriented and Translational HFpEF ResearchK24HL153669 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Jennifer E Ho · 2020 to 2026
$744k
American Heart Association-American Stroke Association 18SFRN34250007NHLBI NIH HHS K23 HL159243NHLBI NIH HHS K24 HL105780NHLBI NIH HHS K24 HL153669NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL134893NHLBI NIH HHS R01 HL139731NHLBI NIH HHS R01 HL140224NHLBI NIH HHS R01 HL157635NINDS NIH HHS R01 NS103924NINDS NIH HHS U01 NS069763
6 · The paper itself

Abstract

backgroundArtificial intelligence (AI) models applied to 12-lead ECG waveforms can predict atrial fibrillation (AF), a heritable and morbid arrhythmia. However, the factors forming the basis of risk predictions from AI models are usually not well understood. We hypothesized that there might be a genetic basis for an AI algorithm for predicting the 5-year risk of new-onset AF using 12-lead ECGs (ECG-AI)-based risk estimates.

methodsWe applied a validated ECG-AI model for predicting incident AF to ECGs from 39 986 UK Biobank participants without AF. We then performed a genome-wide association study (GWAS) of the predicted AF risk and compared it with an AF GWAS and a GWAS of risk estimates from a clinical variable model.

resultsIn the ECG-AI GWAS, we identified 3 signals (

conclusionsPredicted AF risk from an ECG-AI model is influenced by genetic variation implicating sarcomeric, ion channel and body height pathways. ECG-AI models may identify individuals at risk for disease via specific biological pathways.

Indexed as

Atrial FibrillationDeep LearningArtificial IntelligenceElectrocardiographyGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansalgorithmartificial intelligenceatrial fibrillationmorbidityrisk factor

Identifiers

PMID37278238
PMCPMC10524395
OpenAlexW4379508601

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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.