Evidence mapPaperPMID 40863380Full record

ReviewJournal of cardiovascular development and disease2025

Artificial Intelligence-Guided Neuromodulation in Heart Failure with Preserved and Reduced Ejection Fraction: Mechanisms, Evidence, and Future Directions.

Rabiah Aslam Ansari, Sidhartha Gautam Senapati, Vibhor Ahluwalia, Gianeshwaree Alias Rachna Panjwani, Anmolpreet Kaur, Gayathri Yerrapragada, Jayavinamika Jayapradhaban Kala, Poonguzhali Elangovan, Shiva Sankari Karuppiah, Naghmeh Asadimanesh and 2 more

Abstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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

7 citing papers in PubMed.

  1. Article
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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

12 authors.

Rabiah Aslam AnsariDigital Engineering & Artificial Intelligence Laboratory (DEAL), Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.
Sidhartha Gautam SenapatiDepartment of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX 79905, USA.
Vibhor AhluwaliaDepartment of Internal Medicine, Nazareth Hospital, Philadelphia, PA 19152, USA.
Gianeshwaree Alias Rachna PanjwaniDigital Engineering & Artificial Intelligence Laboratory (DEAL), Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID 0000-0001-6631-2988
Anmolpreet KaurDigital Engineering & Artificial Intelligence Laboratory (DEAL), Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.
Gayathri YerrapragadaDigital Engineering & Artificial Intelligence Laboratory (DEAL), Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.
Jayavinamika Jayapradhaban KalaDigital Engineering & Artificial Intelligence Laboratory (DEAL), Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.
Poonguzhali ElangovanDigital Engineering & Artificial Intelligence Laboratory (DEAL), Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.
Shiva Sankari KaruppiahDigital Engineering & Artificial Intelligence Laboratory (DEAL), Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.
Naghmeh AsadimaneshDigital Engineering & Artificial Intelligence Laboratory (DEAL), Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.
Anjani MuthyalaDepartment of Cardiovascular Sciences, East Carolina University, Greenville, NC 27858, USA.
Shivaram P ArunachalamDigital Engineering & Artificial Intelligence Laboratory (DEAL), Department of Critical Care Medicine, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID 0000-0003-3251-5415

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure, a significant global health burden, is divided into heart failure with reduced ejection fraction (HFrEF) and preserved ejection fraction (HFpEF), characterized by systolic dysfunction and diastolic stiffness, respectively. While HFrEF benefits from pharmacological and device-based therapies, HFpEF lacks effective treatments, with both conditions leading to high rehospitalization rates and reduced quality of life, especially in older adults with comorbidities. This review explores the role of artificial intelligence (AI) in advancing autonomic neuromodulation for heart failure management. AI enhances patient selection, optimizes stimulation strategies, and enables adaptive, closed-loop systems. In HFrEF, vagus nerve stimulation and baroreflex activation therapy improve functional status and biomarkers, while AI-driven models adjust stimulation dynamically based on physiological feedback. In HFpEF, AI aids in deep phenotyping to identify responsive subgroups for neuromodulatory interventions. Clinical tools support remote monitoring, risk assessment, and symptom detection. However, challenges like data integration, ethical oversight, and clinical adoption limit real-world application. Algorithm transparency, bias minimization, and equitable access are critical for success. Interdisciplinary collaboration and ethical innovation are essential to develop personalized, data-driven, patient-centered heart failure treatment strategies through AI-guided neuromodulation.

Indexed as

artificial intelligencebaroreflex activation therapycardiovascular technologyclosed-loop systemsheart failureHFpEFHFrEFneuromodulationpersonalized medicineremote health monitoringvagus nerve stimulation

Identifiers

PMID40863380
PMCPMC12386544

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.