Evidence map›Paper›PMID 42549027›Full record

ArticleJournal of arrhythmia2026

Clinical and Echocardiographic Factors Associated With AI-Estimated Atrial Fibrillation Likelihood During Sinus Rhythm in Patients With Documented Paroxysmal Atrial Fibrillation.

Hiroki Sato, Akiko Baba, Yuki Kubota, Nozomi Kodama, Kei Hirota, Miho Miyoshi, Hidekazu Kondo, Akira Fukui, Tomoko Fukuda, Tetsuji Shinohara and 2 more

Abstract read
In one paragraph

Article in Journal of arrhythmia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Hiroki SatoDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.ORCID https://orcid.org/0000-0002-6061-1511
Akiko BabaDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.ORCID https://orcid.org/0000-0003-4470-1629
Yuki KubotaDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.
Nozomi KodamaDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.
Kei HirotaDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.
Miho MiyoshiDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.ORCID https://orcid.org/0009-0000-1952-4347
Hidekazu KondoDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.ORCID https://orcid.org/0000-0003-2451-5845
Akira FukuiDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.ORCID https://orcid.org/0000-0002-1670-6433
Tomoko FukudaDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.ORCID https://orcid.org/0009-0002-8260-1098
Tetsuji ShinoharaDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.ORCID https://orcid.org/0000-0002-6106-6017
Yasushi TeshimaDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.
Naohiko TakahashiDepartment of Cardiology and Clinical Examination, Faculty of Medicine Oita University Yufu Japan.ORCID https://orcid.org/0000-0001-9037-0010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Artificial intelligence-enabled electrocardiography (AI-ECG) has emerged as a promising tool for identifying patients with atrial fibrillation (AF) using sinus-rhythm ECGs. However, some patients with paroxysmal AF (PAF) may be assigned by AI-ECG to lower AF likelihood categories. Clinical and echocardiographic characteristics associated with AF likelihood assignment by AI-ECG remain unclear. Methods: This single-center prospective study enrolled adults with documented PAF admitted for catheter ablation who were in sinus rhythm on the admission ECG. The four AF likelihood categories output by AI-ECG were dichotomized into higher and lower groups for analysis. Logistic regression was used to assess factors associated with assignment by AI-ECG to the higher AF likelihood group. Results: Among 104 patients, 36 were categorized into the lower and 68 into the higher AF likelihood group. Hypertension was associated with lower odds of higher-group assignment (odds ratio [OR], 0.25; 95% confidence interval [CI], 0.10-0.66). In the echocardiographic model, higher left ventricular mass index (LVMI) was associated with lower (OR, 0.72 per 10 g/m Conclusions: A lower AF likelihood assignment by AI-ECG was not uncommon among patients with documented PAF. Hypertension and higher LVMI were inversely associated with assignment to the higher AF likelihood group, whereas mild or greater TR showed a possible positive association. These findings suggest that AI-ECG-based AF likelihood assignment varies among patients with documented PAF during sinus rhythm.

Indexed as

artificial intelligence electrocardiographyhypertensionleft ventricular mass indexparoxysmal atrial fibrillationtricuspid regurgitation

Identifiers

PMID42549027
PMCPMC13430280

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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.