Evidence map›Paper›PMID 41258400›Full record

ArticleCommunications medicine2025

Artificial intelligence-derived photoplethysmography age as a digital biomarker for cardiovascular health.

Guangkun Nie, Qinghao Zhao, Gongzheng Tang, Yaxin Li, Shenda Hong

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Vascular Age: A narrative review of assessment methods, clinical applications, and future directions.International journal of cardiology. Cardiovascular risk and prevention · 2026
    Review
  4. 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

5 authors.

Guangkun Nie *Institute of Medical Technology, Health Science Center of Peking University, Beijing, China.ORCID http://orcid.org/0009-0003-4899-2352
Qinghao Zhao *Department of Cardiology, Peking University People's Hospital, Beijing, China.
Gongzheng TangInstitute of Medical Technology, Health Science Center of Peking University, Beijing, China.
Yaxin LiInstitute of Medical Technology, Health Science Center of Peking University, Beijing, China.
Shenda HongInstitute of Medical Technology, Health Science Center of Peking University, Beijing, China. hongshenda@pku.edu.cn.ORCID http://orcid.org/0000-0001-7521-5127

Funding

National Natural Science Foundation of China (National Science Foundation of China) 62102008Natural Science Foundation of Beijing Municipality (Beijing Natural Science Foundation) QY23040
6 · The paper itself

Abstract

backgroundPhotoplethysmography (PPG), increasingly available through wearable devices, provides a non-invasive means of monitoring human hemodynamics. In this study, we introduce artificial intelligence-derived photoplethysmography (AI-PPG) age, a deep learning-based estimate of biological age from raw PPG signals, and evaluate its potential as a digital biomarker for cardiovascular health.

methodsWe developed a deep learning model with a distribution-aware loss function to reduce bias from imbalanced data. The model was trained and evaluated on the UK Biobank cohort (N = 212,231). We analyzed the association between the AI-PPG age gap (AI-PPG age minus calendar age) and multiple cardiovascular and metabolic outcomes, assessed its longitudinal value using serial PPG measurements, and externally validated its generalizability in an independent MIMIC-III-derived cohort (N = 2343).

resultsAfter adjusting for key confounders, participants with an AI-PPG age gap greater than 9 years have a significantly higher risk of major adverse cardiovascular and cerebrovascular events (hazard ratio of 2.37, p = 8.46 × 10

conclusionsAI-PPG age is a scalable, non-invasive biomarker for cardiovascular health assessment. Integrated with wearable devices, it may enable population-level screening, personalized monitoring, and early intervention.

Identifiers

PMID41258400
PMCPMC12630966

What Socratic holds

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LicenceCC BY-NC-ND
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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.