Evidence map›Paper›PMID 39799179›Full record

ArticleNPJ digital medicine2025

Identification of cardiac wall motion abnormalities in diverse populations by deep learning of the electrocardiogram.

Albert J Rogers, Neal K Bhatia, Sabyasachi Bandyopadhyay, James Tooley, Rayan Ansari, Vyom Thakkar, Justin Xu, Jessica Torres Soto, Jagteshwar S Tung, Mahmood I Alhusseini and 8 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

18 authors.

Albert J RogersDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA. rogersaj@stanford.edu.ORCID http://orcid.org/0000-0001-6585-534X
Neal K BhatiaDepartment of Medicine, Emory University, Atlanta, GA, USA.
Sabyasachi BandyopadhyayDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
James TooleyDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Rayan AnsariDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Vyom ThakkarDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Justin XuDepartment of Computer Science, Stanford University, Stanford, CA, USA.
Jessica Torres SotoDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-0490-4448
Jagteshwar S TungDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Mahmood I AlhusseiniDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Paul CloptonDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Reza SameniDepartment of Biomedical Informatics, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-4913-6825
Gari D CliffordDepartment of Biomedical Informatics, Emory University, Atlanta, GA, USA.
J Weston HughesDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-7042-4031
Euan A AshleyDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-9418-9577
Marco V PerezDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-2746-0202
Matei ZahariaDepartment of Computer Science, UC Berkeley, Berkeley, CA, USA.
Sanjiv M NarayanDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-7552-5053

Funding

The Dynamics of Human Atrial FibrillationR01HL083359 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Sanjiv M Narayan · 2008 to 2026
$7.9M
Research Resource for Complex Physiologic SignalsR01EB030362 · NIBIB · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GOLDBERGER, ARY LOUIS · 2020 to 2025
$5.8M
Machine Learning in Atrial FibrillationR01HL149134 · NHLBI · STANFORD UNIVERSITY · PI NARAYAN, SANJIV M · 2020 to 2024
$3.8M
Machine Learning for Ventricular ArrhythmiasR01HL162260 · NHLBI · STANFORD UNIVERSITY · PI Sanjiv M Narayan · 2023 to 2026
$2.5M
Computational Medicine in the Heart, Integrated Training ProgramT32HL166155 · NHLBI · STANFORD UNIVERSITY · PI Alison L Marsden, Sanjiv M Narayan · 2023 to 2026
$2.0M
Electrical Mapping Signatures of Adverse Structural and Functional Remodeling in Ventricular ArrhythmiaK23HL166977 · NHLBI · STANFORD UNIVERSITY · PI Albert Joseph Rogers · 2023 to 2026
$680k
American Heart Association (American Heart Association, Inc.) 23CDA933663NHLBI NIH HHS K23 HL166977NHLBI NIH HHS R01 HL083359NHLBI NIH HHS R01 HL149134NHLBI NIH HHS R01 HL162260NHLBI NIH HHS T32 HL166155NIBIB NIH HHS R01 EB030362
6 · The paper itself

Abstract

Cardiac wall motion abnormalities (WMA) are strong predictors of mortality, but current screening methods using Q waves from electrocardiograms (ECGs) have limited accuracy and vary across racial and ethnic groups. This study aimed to identify novel ECG features using deep learning to enhance WMA detection, referencing echocardiography as the gold standard. We collected ECG and echocardiogram data from 35,210 patients in California and labeled WMA using unstructured language parsing of echocardiographic reports. A deep neural network (ECG-WMA-Net) was trained and outperformed both expert ECG interpretation and Q-wave indices, achieving an AUROC of 0.781 (CI: 0.762-0.799). The model was externally validated in a diverse cohort from Georgia (n = 2338), with an AUC of 0.723 (CI: 0.685-0.757). Explainability analysis revealed significant contributions from QRS and T-wave regions. This deep learning approach improves WMA screening accuracy, potentially addressing physiological differences not captured by standard ECG-based methods.

Identifiers

PMID39799179
PMCPMC11724909

What OpenQuestion holds

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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.