Evidence map›Paper›PMID 37901957›Full record

ArticleHypertension (Dallas, Tex. : 1979)2024

Vascular Age Assessed From an Uncalibrated, Noninvasive Pressure Waveform by Using a Deep Learning Approach: The AI-VascularAge Model.

Gary F Mitchell, Jian Rong, Martin G Larson, Timothy J Korzinski, Vanessa Xanthakis, Sigurdur Sigurdsson, Vilmundur Gudnason, Lenore J Launer, Thor Aspelund, Naomi M Hamburg and 2 more

Open access · greenAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.2field-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.

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

19 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  4. Vascular Age: A narrative review of assessment methods, clinical applications, and future directions.International journal of cardiology. Cardiovascular risk and prevention · 2026
    Review
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  7. Article
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  9. Recent advances and emerging perspectives in vascular and cardiovascular research: A 2025 update.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  10. Observational
  11. Article
  12. Article
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  16. A spectral machine learning approach to derive central aortic pressure waveforms from a brachial cuff.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. Article
  18. Review
  19. 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

12 authors at 8 institutions in 2 countries.

Gary F MitchellCardiovascular Engineering, Inc, Norwood, MA (G.F.M., T.J.K., J.D.G.).ORCID 0000-0001-5643-3145
Jian RongBoston University and NHLBI's Framingham Study, MA (J.R., M.G.L., V.X., R.S.V.).
Martin G LarsonBoston University and NHLBI's Framingham Study, MA (J.R., M.G.L., V.X., R.S.V.).ORCID 0000-0002-9631-1254
Timothy J KorzinskiCardiovascular Engineering, Inc, Norwood, MA (G.F.M., T.J.K., J.D.G.).
Vanessa XanthakisBoston University and NHLBI's Framingham Study, MA (J.R., M.G.L., V.X., R.S.V.).ORCID 0000-0002-7352-621X
Sigurdur SigurdssonIcelandic Heart Association, Kópavogur (S.S., V.G., T.A.).ORCID 0000-0001-5439-3389
Vilmundur GudnasonIcelandic Heart Association, Kópavogur (S.S., V.G., T.A.).ORCID 0000-0001-5696-0084
Lenore J LaunerIntramural Research Program, Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, MD (L.J.L.).ORCID 0000-0002-3238-7612
Thor AspelundIcelandic Heart Association, Kópavogur (S.S., V.G., T.A.).ORCID 0000-0002-7998-5433
Naomi M HamburgEvans Department of Medicine and Whitaker Cardiovascular Institute, Boston University Chobanian & Avedisian School of Medicine, MA (N.M.H., R.S.V.).ORCID 0000-0001-5504-5589
John D GotalCardiovascular Engineering, Inc, Norwood, MA (G.F.M., T.J.K., J.D.G.).
Ramachandran S VasanBoston University and NHLBI's Framingham Study, MA (J.R., M.G.L., V.X., R.S.V.).ORCID 0000-0001-7357-5970
General Nano (United States) · USBoston University · USReykjavík University · ISBoston Medical Center · USCardiovascular Institute of the South · USFramingham Heart Study · USIcelandic Heart Association · ISNational Institute on Aging · US

Funding

FRAMINGHAM HEART STUDY - YEAR 5 EXAM75N92019D00031 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN · 2019 to 2024
$29.8M
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
ConProject-006U54HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2018 to 2022
$18.8M
Cardiac microstructure and the immune-inflammatory response to SARS-CoV-2R01HL131532 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHENG, SUSAN, LI, DEBIAO · 2016 to 2025
$6.6M
Mediators of Systemic Inflammation and Heart Failure Risk in the CommunityR01HL143227 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI CHENG, SUSAN · 2019 to 2022
$3.3M
CAPSITE: Community Assessment of Pain and Sensitization in the ElderlyR01AG066010 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J., EDWARDS, ROBERT R · 2020 to 2025
$3.3M
Ventricular-vascular coupling in the elderly: lifecourse determinants, trajectories, and prognostic significanceR01HL142983 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CHENG, SUSAN, MITCHELL, GARY FRANK · 2019 to 2022
$3.2M
Brain aging and cardiovascular risk factors and diseaseZIAAG007480 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2011 to 2025
$2.7M
Vascular Stiffness as a Precursor of Hypertension in a Middle-aged CohortR01HL126136 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MITCHELL, GARY FRANK, RAMACHANDRAN, VASAN S · 2015 to 2018
$2.6M
Aortic Dysfunction, Pulsatile Stress and Target Organ Damage in FraminghamR01HL107385 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI MITCHELL, GARY FRANK, RAMACHANDRAN, VASAN S · 2011 to 2014
$2.6M
AORTA, BRAIN AND KIDNEY STRUCTURE AND FUNCTION IN THE AGES-REYKJAVIK STUDYR01HL094898 · NHLBI · CARDIOVASCULAR ENGINEERING, INC. · PI MITCHELL, GARY FRANK · 2009 to 2012
$2.5M
Vascular Function in the Framingham Third GenerationR01HL070100 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 2002 to 2005
$2.4M
NHLBI NIH HHS 75N92019D00031NHLBI NIH HHS HHSN268201500001CNHLBI NIH HHS N01 HC025195NHLBI NIH HHS R01 HL070100NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL093328NHLBI NIH HHS R01 HL094898NHLBI NIH HHS R01 HL107385NHLBI NIH HHS R01 HL126136NHLBI NIH HHS R01 HL131532NHLBI NIH HHS R01 HL142983NHLBI NIH HHS R01 HL143227NHLBI NIH HHS U54 HL120163NIA NIH HHS R01 AG066010NIDA NIH HHS HHSN271201200022CNIDDK NIH HHS R01 DK080739
6 · The paper itself

Abstract

backgroundAortic stiffness, assessed as carotid-femoral pulse wave velocity, provides a measure of vascular age and risk for adverse cardiovascular disease outcomes, but it is difficult to measure. The shape of arterial pressure waveforms conveys information regarding aortic stiffness; however, the best methods to extract and interpret waveform features remain controversial.

methodsWe trained a convolutional neural network with fixed-scale (time and amplitude) brachial, radial, and carotid tonometry waveforms as input and negative inverse carotid-femoral pulse wave velocity as label. Models were trained with data from 2 community-based Icelandic samples (N=10 452 participants with 31 126 waveforms) and validated in the community-based Framingham Heart Study (N=7208 participants, 21 624 waveforms). Linear regression rescaled predicted negative inverse carotid-femoral pulse wave velocity to equivalent artificial intelligence vascular age (AI-VA).

resultsThe AI-VascularAge model predicted negative inverse carotid-femoral pulse wave velocity with R

conclusionsOur results demonstrate that convolutional neural network-derived AI-VA is a powerful indicator of vascular health and cardiovascular disease risk in a broad community-based sample.

Indexed as

Cardiovascular DiseasesCoronary DiseaseDeep LearningHeart FailureVascular StiffnessArtificial IntelligenceBlood PressureCarotid ArteriesCholesterolHumansPulse Wave AnalysisRisk FactorsCholesterolartificial intelligencecardiovascular diseasescohort studiesdeep learningvascular stiffness

Identifiers

PMID37901957
PMCPMC10842456
OpenAlexW4388014506

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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.