Evidence map›Paper›PMID 40379795›Full record

ArticleNature cardiovascular research2025

Developing cardiac digital twin populations powered by machine learning provides electrophysiological insights in conduction and repolarization.

Shuang Qian, Devran Ugurlu, Elliot Fairweather, Laura Dal Toso, Yu Deng, Marina Strocchi, Ludovica Cicci, Richard E Jones, Hassan Zaidi, Sanjay Prasad and 10 more

Abstract read
In one paragraph

Article in Nature cardiovascular research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Review
  2. Article
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  5. Review
  6. The Potential of Digital Twins for Pediatric Rare Diseases.CPT: pharmacometrics & systems pharmacology · 2026
    Review
  7. Relationships between three-dimensional fibrosis distribution, atrial adiposity, and voltage abnormalities associated with persistent atrial fibrillation.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  8. Review
  9. Review
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  14. Review
  15. Review
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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

20 authors.

Shuang QianNational Heart and Lung Institute, Imperial College London, London, UK. s.qian23@imperial.ac.uk.ORCID http://orcid.org/0000-0002-2313-0268
Devran UgurluDepartment of Biomedical Engineering, School of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.
Elliot FairweatherDepartment of Biomedical Engineering, School of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.
Laura Dal TosoInstitute for Biomedical Engineering, ETH Zurich and University Zurich, Zurich, Switzerland.
Yu DengDepartment of Biomedical Engineering, School of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.
Marina StrocchiNational Heart and Lung Institute, Imperial College London, London, UK.
Ludovica CicciNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-2544-9889
Richard E JonesNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-7869-8061
Hassan ZaidiDepartment of Biomedical Engineering, School of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.ORCID http://orcid.org/0000-0003-2806-9483
Sanjay PrasadNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-5637-0727
Brian P HallidayNational Heart and Lung Institute, Imperial College London, London, UK.
Daniel HammersleyDepartment of Biomedical Engineering, School of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.
Xingchi LiuScientific Computing Department, Science and Technology Facilities Council, Harwell, UK.
Gernot PlankGottfried Schatz Research Centre-Biophysics, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-7380-6908
Edward VigmondUniversity of Bordeaux, CNRS, Bordeaux, France.
Reza RazaviDepartment of Biomedical Engineering, School of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.
Alistair YoungDepartment of Biomedical Engineering, School of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.ORCID http://orcid.org/0000-0001-5702-4220
Pablo LamataDepartment of Biomedical Engineering, School of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.ORCID http://orcid.org/0000-0002-3097-4928
Martin BishopDepartment of Biomedical Engineering, School of Imaging Sciences and Biomedical Engineering, King's College London, London, UK.ORCID http://orcid.org/0000-0002-6237-1902
Steven NiedererNational Heart and Lung Institute, Imperial College London, London, UK.

Funding

Using Atrial Mechanics To Identify Fibrosis In Patients with Atrial FibrillationR01HL152256 · NHLBI · STANFORD UNIVERSITY · PI ENNIS, DANIEL B · 2020 to 2023
$2.8M
Machine Learning for Ventricular ArrhythmiasR01HL162260 · NHLBI · STANFORD UNIVERSITY · PI Sanjiv M Narayan · 2023 to 2026
$2.5M
British Heart Foundation (BHF) PG/22/10871NHLBI NIH HHS R01 HL152256NHLBI NIH HHS R01 HL162260Wellcome TrustWellcome Trust (Wellcome) WT203148/Z/16/Z
6 · The paper itself

Abstract

Large-cohort imaging and diagnostic studies often assess cardiac function but overlook underlying biological mechanisms. Cardiac digital twins (CDTs) are personalized physics-constrained and physiology-constrained in silico representations, uncovering multi-scale insights tied to these mechanisms. In this study, we constructed 3,461 CDTs from the UK Biobank and another 359 from an ischemic heart disease (IHD) cohort, using cardiac magnetic resonance images and electrocardiograms. We show here that sex-specific differences in QRS duration were fully explained by myocardial anatomy while their myocardial conduction velocity (CV) remains similar across sexes but changes with age and obesity, indicating myocardial tissue remodeling. Longer QTc intervals in obese females were attributed to larger delayed rectifier potassium conductance

Indexed as

Action PotentialsElectrocardiographyHeart Conduction SystemHeart RateMachine LearningMyocardial IschemiaSignal Processing, Computer-AssistedAdultAgedAge FactorsFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedObesity

Identifiers

PMID40379795
PMCPMC12084159

What Socratic holds

Textmetadata
LicenceCC BY
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.