Evidence map›Paper›PMID 39322420›Full record

ReviewEuropean heart journal2024

Cardiovascular care with digital twin technology in the era of generative artificial intelligence.

Phyllis M Thangaraj, Sean H Benson, Evangelos K Oikonomou, Folkert W Asselbergs, Rohan Khera

Abstract readReview
In one paragraph

Review in European heart journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 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

63 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. The multi-modal digital heart: From future perspective to challenges.Journal of translational internal medicine · 2026
    Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article

3 more citing papers are in PubMed but not listed here.

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.

Phyllis M ThangarajSection of Cardiology, Department of Internal Medicine, Yale School of Medicine, 789 Howard Ave., New Haven, CT, USA.ORCID 0000-0003-3968-1563
Sean H BensonDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, Netherlands.ORCID 0000-0003-4819-779X
Evangelos K OikonomouSection of Cardiology, Department of Internal Medicine, Yale School of Medicine, 789 Howard Ave., New Haven, CT, USA.ORCID 0000-0003-4362-0720
Folkert W AsselbergsDepartment of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, Netherlands.ORCID 0000-0002-1692-8669
Rohan KheraSection of Cardiology, Department of Internal Medicine, Yale School of Medicine, 789 Howard Ave., New Haven, CT, USA.ORCID 0000-0001-9467-6199

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Translating Personalized Inference from Randomized Clinical Trials to Real-World Cardiovascular CareR01HL167858 · NHLBI · YALE UNIVERSITY · PI Rohan Khera · 2024 to 2026
$2.3M
Training in Implementation Science Research and MethodsT32HL155000 · NHLBI · YALE UNIVERSITY · PI SPIEGELMAN, DONNA L, VELAZQUEZ, ERIC J · 2021 to 2025
$2.2M
A multi-modal approach for efficient, point-of-care screening of hypertrophic cardiomyopathyF32HL170592 · NHLBI · YALE UNIVERSITY · PI OIKONOMOU, EVANGELOS · 2023 to 2024
$166k
Dutch Research Council 628.011.213EU Horizon AI4HF 101080430EU Horizon DataTools4Heart 101057849National Heart, Lung, and Blood Institute of the National Institutes of Health R01HL167858NCATS NIH HHS UL1 TR001863NHLBI NIH HHS F32 HL170592NHLBI NIH HHS R01 HL167858NHLBI NIH HHS R01HL167858NHLBI NIH HHS T32 HL155000NIH HHS 1F32HL170592-01NIH HHS 5T32HL155000-03
6 · The paper itself

Abstract

Digital twins, which are in silico replications of an individual and its environment, have advanced clinical decision-making and prognostication in cardiovascular medicine. The technology enables personalized simulations of clinical scenarios, prediction of disease risk, and strategies for clinical trial augmentation. Current applications of cardiovascular digital twins have integrated multi-modal data into mechanistic and statistical models to build physiologically accurate cardiac replicas to enhance disease phenotyping, enrich diagnostic workflows, and optimize procedural planning. Digital twin technology is rapidly evolving in the setting of newly available data modalities and advances in generative artificial intelligence, enabling dynamic and comprehensive simulations unique to an individual. These twins fuse physiologic, environmental, and healthcare data into machine learning and generative models to build real-time patient predictions that can model interactions with the clinical environment to accelerate personalized patient care. This review summarizes digital twins in cardiovascular medicine and their potential future applications by incorporating new personalized data modalities. It examines the technical advances in deep learning and generative artificial intelligence that broaden the scope and predictive power of digital twins. Finally, it highlights the individual and societal challenges as well as ethical considerations that are essential to realizing the future vision of incorporating cardiology digital twins into personalized cardiovascular care.

Indexed as

Artificial IntelligenceCardiologyCardiovascular DiseasesPrecision MedicineClinical Decision-MakingComputer SimulationGenerative Artificial IntelligenceHumansMachine LearningDigital twinsGenerative artificial intelligenceMulti-modal modelsPrecision medicine

Identifiers

PMID39322420
PMCPMC11638093

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.