Evidence map›Paper›PMID 42669665›Full record

ArticleNature communications2026

Deep learning prediction of left atrial structure and function from 12-lead electrocardiograms.

Jennifer A Brody, Vidhushei Yogeswaran, Kerri L Wiggins, Colleen M Sitlani, Joshua C Bis, Lin Yee Chen, Susan R Heckbert, João A C Lima, W T Longstreth, Bruce M Psaty and 5 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Jennifer A Brody *Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA. jeco@uw.edu.ORCID 0000-0001-8509-148X
Vidhushei Yogeswaran *Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0001-6984-3602
Kerri L WigginsCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0003-2749-1279
Colleen M SitlaniCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0001-7656-7482
Joshua C BisCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0002-3409-1110
Lin Yee ChenLillehei Heart Institute and Department of Medicine (Cardiovascular Division), University of Minnesota Medical School, Minneapolis, MN, USA.
Susan R HeckbertCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0002-7100-512X
João A C LimaCardiology Division, Department of Medicine, Johns Hopkins Hospital, Baltimore, MD, USA.ORCID 0000-0001-8756-6995
W T LongstrethDepartment of Epidemiology, University of Washington, Seattle, WA, USA.
Bruce M PsatyCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0002-7278-2190
Elsayed Z SolimanDepartment of Cardiovascular Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.ORCID 0000-0001-5632-8150
Geoffrey H TisonDivision of Cardiology, University of California-San Francisco, San Francisco, CA, USA.ORCID 0000-0002-0310-3326
Ting YeDepartment of Biostatistics, University of Washington, Seattle, WA, USA.ORCID 0000-0001-6009-641X
Ali ShojaieDepartment of Biostatistics, University of Washington, Seattle, WA, USA.
James S FloydCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA. jfloyd@uw.edu.ORCID 0000-0002-0365-9041

Funding

Infrastructure for mentored access to CHS data and specimensR01HL172803 · NHLBI · UNIVERSITY OF WASHINGTON · PI James S Floyd, Michelle Christina Odden · 2025 to 2026
$2.7M
NHLBI NIH HHS R01 HL172803
6 · The paper itself

Abstract

Abnormal cardiac atrial structure and function, termed atrial cardiopathy, typically precedes atrial fibrillation and downstream cardiovascular complications, yet detection is limited by the cost and accessibility of high-quality cardiac imaging. Here we show that a deep learning model trained on 12-lead electrocardiograms paired with 21,749 cardiac magnetic resonance scans from the UK Biobank predicts left atrial structure and function. Model-derived measures of atrial cardiopathy are strongly associated with new-onset atrial fibrillation, heart failure, and ischemic stroke after adjustment for clinical risk factors and biomarkers in two external cohorts, with magnitudes comparable to or greater than those for direct imaging measures and clinical risk factors. The risk of cardioembolic stroke, the hallmark complication of atrial fibrillation, increases 66% per standard deviation of left atrial volume. In exploratory analyses, model measures predict cardiac monitor-detected atrial fibrillation more accurately than a clinical risk prediction tool and NT-proBNP levels. This model is an inexpensive, accessible tool that identifies individuals at high-risk for atrial fibrillation and related complications.

Indexed as

Atrial FibrillationAtrial Function, LeftDeep LearningElectrocardiographyHeart AtriaFemaleHeart FailureHumansMagnetic Resonance ImagingMaleNatriuretic Peptide, BrainPeptide FragmentsPredictive Learning ModelsRisk FactorsUK BiobankNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)

Identifiers

PMID42669665
PMCPMC13527101

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.