Evidence map›Paper›PMID 39090394›Full record

ArticleNPJ digital medicine2024

AI-enhanced reconstruction of the 12-lead electrocardiogram via 3-leads with accurate clinical assessment.

Federico Mason, Amitabh C Pandey, Matteo Gadaleta, Eric J Topol, Evan D Muse, Giorgio Quer

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. 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
–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.

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.

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  4. Review
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  7. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Federico Mason *Scripps Research Translational Institute, La Jolla, 92037, CA, USA.ORCID http://orcid.org/0000-0001-5681-1695
Amitabh C Pandey *Scripps Research Translational Institute, La Jolla, 92037, CA, USA.ORCID http://orcid.org/0000-0002-1541-7023
Matteo GadaletaScripps Research Translational Institute, La Jolla, 92037, CA, USA.ORCID http://orcid.org/0000-0001-6470-6537
Eric J TopolScripps Research Translational Institute, La Jolla, 92037, CA, USA.ORCID http://orcid.org/0000-0002-1478-4729
Evan D MuseScripps Research Translational Institute, La Jolla, 92037, CA, USA. emuse@scripps.edu.ORCID http://orcid.org/0000-0002-5288-7462
Giorgio QuerScripps Research Translational Institute, La Jolla, 92037, CA, USA. gquer@scripps.edu.ORCID http://orcid.org/0000-0003-2208-7912

Funding

Scripps Clinical and Translational Science HubUM1TR004407 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI Eric Jeffrey Topol · 2023 to 2026
$24.2M
Predicting Short- and Long-term Future Occurrence of Atrial Fibrillation from Single-Lead ECG in Normal Sinus Rhythm with an Explainable Deep Learning Model.R21AG072349 · NIA · SCRIPPS RESEARCH INSTITUTE, THE · PI QUER, GIORGIO · 2021 to 2022
$488k
NCATS NIH HHS UM1 TR004407NIA NIH HHS R21 AG072349U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS) UM1TR004407U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) R21AG072349
6 · The paper itself

Abstract

The 12-lead electrocardiogram (ECG) is an integral component to the diagnosis of a multitude of cardiovascular conditions. It is performed using a complex set of skin surface electrodes, limiting its use outside traditional clinical settings. We developed an artificial intelligence algorithm, trained over 600,000 clinically acquired ECGs, to explore whether fewer leads as input are sufficient to reconstruct a 12-lead ECG. Two limb leads (I and II) and one precordial lead (V3) were required to generate a reconstructed 12-lead ECG highly correlated with the original ECG. An automatic algorithm for detection of ECG features consistent with acute myocardial infarction (MI) performed similarly for original and reconstructed ECGs (AUC = 0.95). When interpreted by cardiologists, reconstructed ECGs achieved an accuracy of 81.4 ± 5.0% in identifying ECG features of ST-segment elevation MI, comparable with the original 12-lead ECGs (accuracy 84.6 ± 4.6%). These results will impact development efforts to innovate ECG acquisition methods with simplified tools in non-specialized settings.

Identifiers

PMID39090394
PMCPMC11294561

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Registered trials

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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.