Evidence map›Paper›PMID 40900586›Full record

SynthesisArquivos brasileiros de cardiologia2025

Applicability of Machine Learning Algorithms in Diagnosis of Atrial Fibrillation and LQTS by Electrocardiogram Interpretation: A Systematic Review.

Paulo Cainan Guimarães do Nascimento, Matthews Silva Martins, Alex Cleber Improta-Caria, Roque Aras Junior

Abstract readSystematic Review
In one paragraph

Synthesis in Arquivos brasileiros de cardiologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Paulo Cainan Guimarães do NascimentoUniversidade Federal da Bahia - Faculdade de Medicina da Bahia, Salvador, BA - Brasil.ORCID 0009-0000-3187-7911
Matthews Silva MartinsUniversidade Federal do Espírito Santo - Laboratório de Fisiologia Molecular e Inteligência Artificial, Departamento de Ciências Fisiológicas, Vitória, ES - Brasil.
Alex Cleber Improta-CariaUniversidade de São Paulo - Laboratório de Bioquímica e Biologia Molecular do Exercício, Escola de Educação Física e Esporte, São Paulo, SP - Brasil.ORCID 0000-0002-8779-1188
Roque Aras JuniorUniversidade Federal da Bahia - Faculdade de Medicina da Bahia, Salvador, BA - Brasil.ORCID 0000-0002-2161-3696

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMachine Learning (ML) is a type of algorithm that autonomously learns to recognize complex patterns. In the diagnostic context of cardiac arrhythmias, these algorithms have shown significant advancements due to their ability to provide automated interpretation and pattern recognition in electrocardiograms (ECGs).

objectiveTo analyze and identify the applicability, validity, and feasibility of ML algorithm models in the diagnostic process of cardiac arrhythmias through automated electrocardiogram interpretation.

methodsThis systematic literature review was reported according to the PRISMA guidelines. The searches were conducted in the Cochrane Library, EMBASE, LILACS, and PubMed between February 2022 and November 2022. The study period encompasses articles published between 2017 and 2022.

resultsThe database search yielded 119 results, covering three subthemes: Long QT Syndrome (LQTS), corrected QT interval (QTc), and atrial fibrillation (AF). AF was the most prevalent theme. The sample sizes were quite variable. The outcomes were mostly satisfactory. In the diagnosis of LQTS using Artificial Intelligence (AI), the algorithm outperformed conventional methods in diagnostic distinction. In the evaluation of QTc, there was no difference between the AI-integrated ECG and the conventional ECG. In the diagnosis of AF, the algorithms, models, and devices demonstrated high sensitivity and specificity, along with greater accuracy.

conclusionML models in the diagnostic process of cardiac arrhythmias are feasible and rapidly developing. They demonstrate accuracy values between 96.4% and 98.2%, sensitivity between 92.8% and 99.4%, and specificity between 95% and 98.1%, particularly in the diagnosis of atrial fibrillation.

Indexed as

AlgorithmsAtrial FibrillationElectrocardiographyLong QT SyndromeMachine LearningHumansReproducibility of Results

Identifiers

PMID40900586
PMCPMC12677803

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.