Arrhythmias & electrophysiology

Deep learning to predict left ventricular hypertrophy from the electrocardiogram

EuropacePublished Diagnostic accuracy study

Authors' conclusion

Our findings support the feasibility of scalable DL-based screening tools for the prediction of LVH from the ECG, whilst highlighting the need for model development using larger datasets with greater diversity to ensure generalizability.

Study context

Population
UK Biobank imaging study participants with 12-lead electrocardiogram (ECG); external evaluation in Study of Health in Pomerania (SHIP)UK Biobank
Participants
48,835 participants
Comparison
Deep learning (DL) model for prediction of cardiac magnetic resonance (CMR)-derived left ventricular hypertrophy (LVH)
Outcome
Classification of CMR-derived LVH (area under the receiving operating curve (AUROC))
Methodological detailsexternal evaluation
  • External evaluation

Performance

As reported in the abstract

CMR-derived LVH, UK Biobank
Test or modelAUC
DL model0.97

DL model

AUC0.97
Participants with CMR-derived LVH
717 (1.5%)

Further findings

OutcomeValues
External evaluation in SHIPDL model AUC 0.78
External evaluation in SHIP — Participants in SHIP
1423
  • External evaluation in SHIP: modest generalizability; differences in clinical profile, ECG acquisition and CMR labelling

Most predictive ECG components

QRS complex and ventricular rate most predictive of LVH

Original publication

Deep learning to predict left ventricular hypertrophy from the electrocardiogram. Europace. Published 23 January 2026. doi:10.1093/europace/euag015

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