Evidence map›Paper›PMID 37186897›Full record

ArticleAging2023

The feasibility of early detecting coronary artery disease using deep learning-based algorithm based on electrocardiography.

Panli Tang, Qi Wang, Hua Ouyang, Songran Yang, Ping Hua

Abstract read
In one paragraph

Article in Aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

5 authors.

Panli TangDepartment of Cardiovascular Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
Qi WangDepartment of Cardiovascular Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
Hua OuyangDepartment of Cardiovascular Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
Songran YangThe Biobank of Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
Ping HuaDepartment of Cardiovascular Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary Artery Disease (CAD) is a major cause of morbidity and mortality, yet it is frequently asymptomatic in the early stages and hence goes undetected.

objectiveWe aimed to develop a novel artificial intelligence-based approach for early detection of CAD patients based solely on electrocardiogram (ECG).

methodsThis study included patients with suspected CAD who had standard 10-s resting 12-lead ECGs and coronary computed tomography angiography (cCTA) results within 4 weeks or less. The ECG and cCTA data from the same patient were matched based on their hospitalization or outpatient ID. All matched data pairs were then randomly divided into training, validation dataset for model development based on convolutional neural network (CNN) and test dataset for model evaluation. The accuracy (Acc), specificity (Spec), sensitivity (Sen), positive predictive value (PPV), negative predictive value (NPV) and area under the receiver operating characteristic curve (AUC) of the model were calculated by using the test dataset.

resultsIn the test dataset, the model for detecting CAD achieved an AUC of 0.75 (95% CI, 0.73 to 0.78) with an accuracy of 70.0%. Using the optimal cut-off point, the CAD detection model had sensitivity of 68.7%, specificity of 70.9%, positive predictive value (PPV) of 61.2%, and negative predictive value (NPV) of 77.2%. Our study demonstrates that a well-trained CNN model based solely on ECG could be considered an efficient, low-cost, and noninvasive method of assisting in CAD detection.

Indexed as

Coronary Artery DiseaseDeep LearningAlgorithmsArtificial IntelligenceElectrocardiographyFeasibility StudiesHumansPredictive Value of TestsSensitivity and Specificityartificial intelligencecoronary artery diseasedeep learningdiagnosiselectrocardiography

Identifiers

PMID37186897
PMCPMC10449295

What Socratic holds

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LicenceCC BY
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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 Socratic graph.