Heart failure & cardiomyopathies

Artificial Intelligence–Enhanced Electrocardiography Identifies Patients With Normal Ejection Fraction at Risk of Worse Outcomes

JACC AdvPublished Retrospective cohort study

Main finding · All-cause mortalityResult — go to the resultHazard ratio 1.64 95% CI 1.55–1.73

Authors' conclusion

FP patients were more likely than TNs to have echocardiographic abnormalities with 97% of exams showing an abnormality. FP patients had higher mortality rates, especially when their echocardiograms also had an abnormality

Study context

Population
Patients with transthoracic echocardiography and electrocardiogram (ECG)
Participants
100,586 patients
Exposure
AI-ECG false positives vs true negatives
Outcome
Echocardiographic characteristics and all-cause mortality in FP patients
Follow-up
Median 2.7 years

Main finding

All-cause mortality

Hazard ratio

1.64

95% CI 1.55–1.73

FPvs TN
HR 1.64 (95% CI 1.55–1.73)

As reported in the abstract

Echocardiographic abnormality present in FP
97%

Observational data: associations, not effects.

Further findings

Group distribution

Mortality by echocardiography result

Age and sex-adjusted mortality higher in FP with abnormal echo than FP with normal echo and true negatives (TN) regardless of echo result
FP with normal echo had comparable mortality risk to TN with abnormal echo

Original publication

Artificial Intelligence–Enhanced Electrocardiography Identifies Patients With Normal Ejection Fraction at Risk of Worse Outcomes. JACC Adv. Published 28 August 2024. doi:10.1016/j.jacadv.2024.101179

Composed by AI from the published abstract and checked against it. How Briefs are made →

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