Evidence map›Paper›PMID 37937270›Full record

ArticlePNAS nexus2023

Deep learning unmasks the ECG signature of Brugada syndrome.

Luke Melo, Giuseppe Ciconte, Ashton Christy, Gabriele Vicedomini, Luigi Anastasia, Carlo Pappone, Edward Grant

Open access · goldAbstract read
In one paragraph

Article in PNAS nexus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
5.3field-weighted citation impact, top 3% 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

7 citing papers in PubMed, 24 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Luke MeloDepartment of Chemistry, University of British Columbia, Vancouver, BC V6T 1Z1, Canada.ORCID https://orcid.org/0000-0003-2577-8380
Giuseppe CiconteArrhythmia and Electrophysiology Center, IRCCS Policlinico San Donato, Milan 20097, Italy.
Ashton ChristyDepartment of Chemistry, University of British Columbia, Vancouver, BC V6T 1Z1, Canada.ORCID https://orcid.org/0000-0002-1778-9840
Gabriele VicedominiArrhythmia and Electrophysiology Center, IRCCS Policlinico San Donato, Milan 20097, Italy.
Luigi AnastasiaStem Cell Laboratory for Tissue Engineering, Università Vita-Salute San Raffaele, Milan 20132, Italy.ORCID https://orcid.org/0000-0002-0712-2161
Carlo PapponeArrhythmia and Electrophysiology Center, IRCCS Policlinico San Donato, Milan 20097, Italy.
Edward GrantDepartment of Chemistry, University of British Columbia, Vancouver, BC V6T 1Z1, Canada.ORCID https://orcid.org/0000-0001-5264-2644
University of British Columbia · CAIRCCS Policlinico San Donato · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One in 10 cases of sudden cardiac death strikes without warning as the result of an inherited arrhythmic cardiomyopathy, such as Brugada Syndrome (BrS). Normal physiological variations often obscure visible signs of this and related life-threatening channelopathies in conventional electrocardiograms (ECGs). Sodium channel blockers can reveal previously hidden diagnostic ECG features, however, their use carries the risk of life-threatening proarrhythmic side effects. The absence of a nonintrusive test places a grossly underestimated fraction of the population at risk of SCD. Here, we present a machine-learning algorithm that extracts, aligns, and classifies ECG waveforms for the presence of BrS. This protocol, which succeeds without the use of a sodium channel blocker (88.4% accuracy, 0.934 AUC in validation), can aid clinicians in identifying the presence of this potentially life-threatening heart disease.

Indexed as

artificial intelligenceBrugada Syndromedeep neural networkelectrocardiogramSudden Cardiac Death

Identifiers

PMID37937270
PMCPMC10627411
OpenAlexW4387609406

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.