Evidence map›Paper›PMID 39915530›Full record

Articlenpj aging2025

Reclassification of the conventional risk assessment for aging-related diseases by electrocardiogram-enabled biological age.

Chih-Min Liu, Ming-Jen Kuo, Chin-Yu Kuo, I-Chien Wu, Pei-Fen Chen, Wan-Ting Hsu, Li-Lien Liao, Shih-Ann Chen, Hsuan-Ming Tsao, Chien-Liang Liu and 1 more

Abstract read
In one paragraph

Article in npj aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
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

11 authors.

Chih-Min LiuHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Ming-Jen KuoInstitute of Clinical Medicine and Faculty of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Chin-Yu KuoDepartment of Industrial Engineering and Management, National Yang Ming Chiao Tung University, Hsinchu, Taiwan.
I-Chien WuInstitute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan.ORCID http://orcid.org/0000-0002-6916-8165
Pei-Fen ChenInstitute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan.
Wan-Ting HsuHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Li-Lien LiaoHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Shih-Ann ChenHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
Hsuan-Ming TsaoInstitute of Clinical Medicine and Faculty of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. hmtsao@ymuh.ym.edu.tw.
Chien-Liang LiuDepartment of Industrial Engineering and Management, National Yang Ming Chiao Tung University, Hsinchu, Taiwan. clliu@nycu.edu.tw.
Yu-Feng HuHeart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan. yfhu0609@nycu.edu.tw.

Funding

Academia Sinica AS-TM-112-01Ministry of Science and Technology, Taiwan (Ministry of Science and Technology of Taiwan) 110-2314-B-075-063-MY3
6 · The paper itself

Abstract

An artificial intelligence (AI)-enabled electrocardiogram (ECG) model has been developed in a healthy adult population to predict ECG biological age (ECG-BA). This ECG-BA exhibited a robust correlation with chronological age (CA) in healthy adults and additionally significantly enhanced the prediction of aging-related diseases' onset in adults with subclinical diseases. The model showed particularly strong predictive power for cardiovascular and non-cardiovascular diseases such as stroke, coronary artery disease, peripheral arterial occlusive disease, myocardial infarction, Alzheimer's disease, osteoarthritis, and cancers. When combined with CA, ECG-BA improved diagnostic accuracy and risk classification by 21% over using CA alone, notably offering the greatest improvements in cancer prediction. The net reclassification improvement significantly reduced misclassification rates for disease onset predictions. This comprehensive study validates ECG-BA as an effective supplement to CA, advancing the precision of risk assessments for aging-related conditions and suggesting broad implications for enhancing preventive healthcare strategies, potentially leading to better patient outcomes.

Identifiers

PMID39915530
PMCPMC11802786

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.