Featured Publications
Detection of left ventricular systolic dysfunction from single-lead electrocardiography adapted for portable and wearable devices
Khunte A, Sangha V, Oikonomou E, Dhingra L, Aminorroaya A, Mortazavi B, Coppi A, Brandt C, Krumholz H, Khera R. Detection of left ventricular systolic dysfunction from single-lead electrocardiography adapted for portable and wearable devices. Npj Digital Medicine 2023, 6: 124. PMID: 37433874, PMCID: PMC10336107, DOI: 10.1038/s41746-023-00869-w.Peer-Reviewed Original ResearchArtificial intelligenceRandom Gaussian noiseNoisy electrocardiogramGaussian noiseElectrocardiogram (ECGWearable devicesSingle-lead electrocardiogramPortable devicesSNRWearableNoiseDevice noiseRepositoryAI-based screeningIntelligenceDetectionDevicesNoise sourcesVentricular systolic dysfunctionModelElectrocardiogramSingle-lead electrocardiographyTraining
2024
A multilabel deep learning model for the detection of conduction and rhythm disorders from PDF outputs of a widely available portable ECG Device
Sangha V, Dhingra L, Khera R. A multilabel deep learning model for the detection of conduction and rhythm disorders from PDF outputs of a widely available portable ECG Device. European Heart Journal 2024, 45: ehae666.3437. DOI: 10.1093/eurheartj/ehae666.3437.Peer-Reviewed Original ResearchDeep learning modelsPDF outputArtificial intelligenceLearning modelsConvolutional neural networkPortable devicesPortable ECG deviceMultilabel modelEfficientNet-B3Neural networkECG outputWearable ECGHeld-out subsetCurrent algorithmsSingle-lead ECGSynthetic ECGECG deviceWearableClinical ECGClinical labelsAlgorithmCommercial devicesDetection of conductivityNo current algorithmPDFArtificial intelligence applied to electrocardiographic images for scalable screening of cardiac amyloidosis
Sangha V, Oikonomou E, Krumholz H, Miller E, Khera R. Artificial intelligence applied to electrocardiographic images for scalable screening of cardiac amyloidosis. European Heart Journal 2024, 45: ehae666.3436. DOI: 10.1093/eurheartj/ehae666.3436.Peer-Reviewed Original ResearchATTR-CMBone scintigraphy scansTransthyretin amyloid cardiomyopathyPositive predictive valueAI-ECG algorithmCardiac amyloidosisScintigraphy scanAmyloid cardiomyopathyAI-ECGSex-matchedDevelopment cohortMyocardial remodelingUnder-diagnosedUnder-treatedMatched controlsPredictive valueUnder-recognizedTransthyretin stabilizersConvolutional neural networkPatientsECGArtificial intelligenceHospitalPrevalenceTransthyretinCardiovascular care with digital twin technology in the era of generative artificial intelligence
Thangaraj P, Benson S, Oikonomou E, Asselbergs F, Khera R. Cardiovascular care with digital twin technology in the era of generative artificial intelligence. European Heart Journal 2024, ehae619. PMID: 39322420, DOI: 10.1093/eurheartj/ehae619.Peer-Reviewed Original ResearchGenerative artificial intelligenceCardiovascular careCardiovascular medicinePersonalized cardiovascular careArtificial intelligenceSimulations of clinical scenariosData modalitiesPrediction of disease riskClinical decision-makingIn silico replicationPersonalized patient careDigital twinClinical scenariosDigital twin technologyMulti-modal dataProcedural planningDiagnostic workflowDisease phenotypePatient careReviewer Experience Detecting and Judging Human Versus Artificial Intelligence Content: The Stroke Journal Essay Contest
Silva G, Khera R, Schwamm L, Acampa M, Adelman E, Boltze J, Broderick J, Brodtmann A, Christensen H, Dalli L, Duncan K, Elgendy I, Ergul A, Goldstein L, Hinkle J, Johansen M, Jood K, Kasner S, Levine S, Li Z, Lip G, Marsh E, Muir K, Ospel J, Pera J, Quinn T, Räty S, Ranta A, Richards L, Romero J, Willey J, Hillis A, Veerbeek J. Reviewer Experience Detecting and Judging Human Versus Artificial Intelligence Content: The Stroke Journal Essay Contest. Stroke 2024, 55: 2573-2578. PMID: 39224979, PMCID: PMC11529699, DOI: 10.1161/strokeaha.124.045012.Peer-Reviewed Original ResearchConceptsArtificial intelligenceEditorial board membersAuthor typeTraditional peer reviewLanguage modelIntelligent contentAuthor attributionGeneral textAI expertiseHuman authorityImproved accuracyAuthor's identityAuthor's manuscriptScientific journalsEssay contestPeer reviewPerception of qualityAuthorshipNature of authorshipIntelligenceLLMScientific writingScientific essayEssay qualityEssayTransforming Hypertension Diagnosis and Management in The Era of Artificial Intelligence: A 2023 National Heart, Lung, and Blood Institute (NHLBI) Workshop Report.
Shimbo D, Shah R, Abdalla M, Agarwal R, Ahmad F, Anaya G, Attia Z, Bull S, Chang A, Commodore-Mensah Y, Ferdinand K, Kawamoto K, Khera R, Leopold J, Luo J, Makhni S, Mortazavi B, Oh Y, Savage L, Spatz E, Stergiou G, Turakhia M, Whelton P, Yancy C, Iturriaga E. Transforming Hypertension Diagnosis and Management in The Era of Artificial Intelligence: A 2023 National Heart, Lung, and Blood Institute (NHLBI) Workshop Report. Hypertension 2024 PMID: 39011653, DOI: 10.1161/hypertensionaha.124.22095.Peer-Reviewed Original ResearchMachine learning toolsManagement of hypertensionNational HeartArtificial intelligenceBlood InstitutePredictive of incident hypertensionHealth care systemImplementation challengesDiverse group of stakeholdersAI toolsPopulation healthMeasurement of blood pressureCare systemHealth careIncident hypertensionHypertension riskEra of artificial intelligenceHypertension diagnosisLearning toolsManaging hypertensionHypertension-related complicationsAntihypertensive medicationsHealthPublic healthGroups of stakeholdersDesigning medical artificial intelligence systems for global use: focus on interoperability, scalability, and accessibility
Oikonomou E, Khera R. Designing medical artificial intelligence systems for global use: focus on interoperability, scalability, and accessibility. Hellenic Journal Of Cardiology 2024 PMID: 39025234, DOI: 10.1016/j.hjc.2024.07.003.Peer-Reviewed Original ResearchArtificial intelligenceMedical artificial intelligence systemsDesigning AI systemsMachine learning systemsArtificial intelligence systemsBenefits of AIIntelligent systemsAI systemsLearning systemEnd-usersData typesAI developmentInteroperabilityTemporal settingAccessScalabilityTreatment of cardiovascular diseasesIntelligenceSystemMachineQuality assuranceInternational cohortCardiovascular diseaseObstaclesArtificial intelligence-enhanced patient evaluation: bridging art and science
Oikonomou E, Khera R. Artificial intelligence-enhanced patient evaluation: bridging art and science. European Heart Journal 2024, 45: 3204-3218. PMID: 38976371, PMCID: PMC11400875, DOI: 10.1093/eurheartj/ehae415.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsTransforming Cardiovascular Care With Artificial Intelligence: From Discovery to Practice JACC State-of-the-Art Review
Khera R, Oikonomou E, Nadkarni G, Morley J, Wiens J, Butte A, Topol E. Transforming Cardiovascular Care With Artificial Intelligence: From Discovery to Practice JACC State-of-the-Art Review. Journal Of The American College Of Cardiology 2024, 84: 97-114. PMID: 38925729, DOI: 10.1016/j.jacc.2024.05.003.Peer-Reviewed Original ResearchArtificial Intelligence for Cardiovascular Care—Part 1: Advances JACC Review Topic of the Week
Elias P, Jain S, Poterucha T, Randazzo M, Lopez Jimenez F, Khera R, Perez M, Ouyang D, Pirruccello J, Salerno M, Einstein A, Avram R, Tison G, Nadkarni G, Natarajan V, Pierson E, Beecy A, Kumaraiah D, Haggerty C, Avari Silva J, Maddox T. Artificial Intelligence for Cardiovascular Care—Part 1: Advances JACC Review Topic of the Week. Journal Of The American College Of Cardiology 2024, 83: 2472-2486. PMID: 38593946, DOI: 10.1016/j.jacc.2024.03.400.Peer-Reviewed Original ResearchEnhanced image qualityHuman expertsLeverage AIEvaluation benchmarkArtificial intelligenceAI modelsAI advancementsDetect diseaseTraining methodsImage qualityReduced ejection fractionEvolving technologyValvular heart diseaseReal-world efficacyEjection fractionProvider experienceHeart diseaseTechnologyCardiovascular carePatient careUnique characteristicsIntelligenceBenchmarksArtificial Intelligence in Cardiovascular Care—Part 2: Applications JACC Review Topic of the Week
Jain S, Elias P, Poterucha T, Randazzo M, Lopez Jimenez F, Khera R, Perez M, Ouyang D, Pirruccello J, Salerno M, Einstein A, Avram R, Tison G, Nadkarni G, Natarajan V, Pierson E, Beecy A, Kumaraiah D, Haggerty C, Avari Silva J, Maddox T. Artificial Intelligence in Cardiovascular Care—Part 2: Applications JACC Review Topic of the Week. Journal Of The American College Of Cardiology 2024, 83: 2487-2496. PMID: 38593945, DOI: 10.1016/j.jacc.2024.03.401.Peer-Reviewed Original ResearchEVIDENCE FROM RANDOMIZED CONTROLLED TRIAL TO REAL-WORLD PATIENTS USING ELECTRONIC HEALTH RECORD-ADAPTED DIGITAL TWINS: A NOVEL APPLICATION OF GENERATIVE ARTIFICIAL INTELLIGENCE
Thangaraj P, Shankar S, Oikonomou E, Khera R. EVIDENCE FROM RANDOMIZED CONTROLLED TRIAL TO REAL-WORLD PATIENTS USING ELECTRONIC HEALTH RECORD-ADAPTED DIGITAL TWINS: A NOVEL APPLICATION OF GENERATIVE ARTIFICIAL INTELLIGENCE. Journal Of The American College Of Cardiology 2024, 83: 2340. DOI: 10.1016/s0735-1097(24)04330-4.Peer-Reviewed Original ResearchGenerative artificial intelligenceArtificial intelligenceDigital twinNovel applicationsIntelligenceHealthBiometric contrastive learning for data-efficient deep learning from electrocardiographic images
Sangha V, Khunte A, Holste G, Mortazavi B, Wang Z, Oikonomou E, Khera R. Biometric contrastive learning for data-efficient deep learning from electrocardiographic images. Journal Of The American Medical Informatics Association 2024, 31: 855-865. PMID: 38269618, PMCID: PMC10990541, DOI: 10.1093/jamia/ocae002.Peer-Reviewed Original ResearchLabeled training dataContrastive learningECG imagesLabeled dataTraining dataDeep learningProportions of labeled dataArtificial intelligenceSelf-supervised contrastive learningTraditional supervised learningConvolutional neural networkHeld-out test setSupervised learningPretraining strategyBiometric signatureImageNet initializationPretraining approachNeural networkImageNetAI modelsImage objectsTest setLearningDetect atrial fibrillationEquivalent performance
2023
Machine learning in precision diabetes care and cardiovascular risk prediction
Oikonomou E, Khera R. Machine learning in precision diabetes care and cardiovascular risk prediction. Cardiovascular Diabetology 2023, 22: 259. PMID: 37749579, PMCID: PMC10521578, DOI: 10.1186/s12933-023-01985-3.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsArtificial intelligence solutionsArtificial intelligence productsData-driven methodIntelligence solutionsArtificial intelligenceMachine learningPersonalized solutionsIntelligence productsBias mitigationMachineKey issuesPredictive modelSuch modelsSuccessful applicationRisk predictionParadigm shiftIntelligenceKey propertiesApplicationsLearningPersonalized careFrameworkSolutionCurrent regulatory frameworkHealthcare
2022
Automated multilabel diagnosis on electrocardiographic images and signals
Sangha V, Mortazavi BJ, Haimovich AD, Ribeiro AH, Brandt CA, Jacoby DL, Schulz WL, Krumholz HM, Ribeiro ALP, Khera R. Automated multilabel diagnosis on electrocardiographic images and signals. Nature Communications 2022, 13: 1583. PMID: 35332137, PMCID: PMC8948243, DOI: 10.1038/s41467-022-29153-3.Peer-Reviewed Original ResearchConceptsConvolutional neural networkArtificial intelligenceApplication of AISignal-based dataSignal-based modelElectrocardiographic imagesECG imagesGrad-CAMImage-based modelsNeural networkDiagnosis modelECG signalsImagesClinical labelsValidation setLabelsExternal validation setMultilabelIntelligenceNetworkApplicationsModelBroad useSetBroader setting