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Deep Learning–Based Electrocardiogram Model (EIANet) to Predict Emergency Department Cardiac Arrest: Development and External Validation Study

Deep Learning–Based Electrocardiogram Model (EIANet) to Predict Emergency Department Cardiac Arrest: Development and External Validation Study

Electrocardiogram (ECG) is an old tool in clinical medicine but has re-emerged for the prediction of low left ventricular ejection fraction [17], arrhythmia [18], dyskalemia [19], or even longer-term mortality [20].

Shao-Chi Lu, Guang-Yuan Chen, An-Sheng Liu, Jen-Tang Sun, Jun-Wan Gao, Chien-Hua Huang, Chu-Lin Tsai, Li-Chen Fu

J Med Internet Res 2025;27:e67576

Effects of Missing Data on Heart Rate Variability Measured From A Smartwatch: Exploratory Observational Study

Effects of Missing Data on Heart Rate Variability Measured From A Smartwatch: Exploratory Observational Study

Overwhelmingly, real-world studies have opted to use wrist-worn photoplethysmography sensors to evaluate HRV over other more accurate methods such as chest-worn electrocardiogram (ECG) sensors, likely improving patient compliance in these studies. As a result, we must determine how to best assess data from wrist-worn photoplethysmography sensors, including accounting for missing data and assessing data validity compared with ECG HRV data.

Hope Davis-Wilson, Meghan Hegarty-Craver, Pooja Gaur, Matthew Boyce, Jonathan R Holt, Edward Preble, Randall Eckhoff, Lei Li, Howard Walls, David Dausch, Dorota Temple

JMIR Form Res 2025;9:e53645

Machine Learning in the Management of Patients Undergoing Catheter Ablation for Atrial Fibrillation: Scoping Review

Machine Learning in the Management of Patients Undergoing Catheter Ablation for Atrial Fibrillation: Scoping Review

use of the included studies. a PVCT: pulmonary vein computed tomography. b CT: computed tomography. c LAV: left atrial volume. d AF: atrial fibrillation. e LVEF: left ventricular ejection fraction. f LGE-MRI: late gadolinium-enhanced cardiac magnetic resonance. g NR: not reported. h ERP: effective refractory period. i PVI: pulmonary vein isolation. j HF: heart failure. ku EGM: unipolar endocardial electrogram. lb EGM: bipolar endocardial electrogram. mu LAT: unipolar localized activation time. n EGM: electrogram. o ECG: electrocardiogram

Aijing Luo, Wei Chen, Hongtao Zhu, Wenzhao Xie, Xi Chen, Zhenjiang Liu, Zirui Xin

J Med Internet Res 2025;27:e60888

Wearable Electrocardiogram Technology: Help or Hindrance to the Modern Doctor?

Wearable Electrocardiogram Technology: Help or Hindrance to the Modern Doctor?

The electrocardiogram (ECG) is one of the most commonly obtained test results in medical practice [1,2]. By measuring the electrical activity of the heart, an ECG can indicate cardiac arrhythmias and structural defects, respiratory disease, electrolyte disturbances, and even noncardiac events such as subarachnoid hemorrhage [1].

Samuel Smith, Shalisa Maisrikrod

JMIR Cardio 2025;9:e62719

Multimodal Pain Recognition in Postoperative Patients: Machine Learning Approach

Multimodal Pain Recognition in Postoperative Patients: Machine Learning Approach

Ada Boost: adaptive boosting; EDA: electrodermal activity; EMG: electromyogram; ECG: electrocardiogram; ML: machine learning; PPG: photoplethysmography; SMOTE: synthetic minority oversampling technique; SVM: support vector machine; RF: random forest; KNN: k-nearest neighbors. The ECG channel was filtered using a Butterworth band-pass filter with a frequency range of 0.1-250 Hz.

Ajan Subramanian, Rui Cao, Emad Kasaeyan Naeini, Seyed Amir Hossein Aqajari, Thomas D Hughes, Michael-David Calderon, Kai Zheng, Nikil Dutt, Pasi Liljeberg, Sanna Salanterä, Ariana M Nelson, Amir M Rahmani

JMIR Form Res 2025;9:e67969

Causal Inference for Hypertension Prediction With Wearable Electrocardiogram and Photoplethysmogram Signals: Feasibility Study

Causal Inference for Hypertension Prediction With Wearable Electrocardiogram and Photoplethysmogram Signals: Feasibility Study

Hence, there are data-driven approaches based on noninvasive signals for the detection of hypertension, such as electrocardiogram (ECG) or photoplethysmogram (PPG), that are easily accessible from wearable sensors [2]. Subsequently, wearable monitoring can continuously monitor patients’ physiological conditions 24 hours a day.

Ke Gong, Yifan Chen, Xinyue Song, Zhizhong Fu, Xiaorong Ding

JMIR Cardio 2025;9:e60238

Comparative Evaluation of Consumer Wearable Devices for Atrial Fibrillation Detection: Validation Study

Comparative Evaluation of Consumer Wearable Devices for Atrial Fibrillation Detection: Validation Study

The diagnosis of AF requires an electrocardiogram (ECG) showing irregular R-R intervals (when atrioventricular conduction is not impaired) and the absence of distinct repeating P waves [4]. Historically, ECG diagnostics were confined to medical settings, using devices administered or prescribed by health care professionals. However, the 21st century has witnessed a rapid surge in the availability and use of consumer-oriented wearable devices (CWDs) capable of monitoring heart rhythm [5-8].

Femke Wouters, Henri Gruwez, Christophe Smeets, Anessa Pijalovic, Wouter Wilms, Julie Vranken, Zoë Pieters, Hugo Van Herendael, Dieter Nuyens, Maximo Rivero-Ayerza, Pieter Vandervoort, Peter Haemers, Laurent Pison

JMIR Form Res 2025;9:e65139

The Role of Machine Learning in the Detection of Cardiac Fibrosis in Electrocardiograms: Scoping Review

The Role of Machine Learning in the Detection of Cardiac Fibrosis in Electrocardiograms: Scoping Review

Each search consisted of 3 elements: cardiac electrodiagnostic methods (eg, “electrocardiogram”), cardiac fibrosis (eg, “myocardial fibrosis”), or known ECG identification methods of fibrosis (eg, “Selvester score”), and ML methods (eg, “deep learning”). The strategy was adjusted to the constraints of the respective database. Details of the search strategy used for each database are available (Multimedia Appendix 2). The search was conducted in October 2024.

Julia Handra, Hannah James, Ashery Mbilinyi, Ashley Moller-Hansen, Callum O'Riley, Jason Andrade, Marc Deyell, Cameron Hague, Nathaniel Hawkins, Kendall Ho, Ricky Hu, Jonathon Leipsic, Roger Tam

JMIR Cardio 2024;8:e60697

Resting Heart Rate and Associations With Clinical Measures From the Project Baseline Health Study: Observational Study

Resting Heart Rate and Associations With Clinical Measures From the Project Baseline Health Study: Observational Study

ECG: electrocardiogram; SW: study watch; PPG: photoplethysmography; IBI: interbeat interval; VSW: Verily Study Watch; RHR: resting heart rate. The processing steps to calculate the VSW RHR for each participant are shown in Figure 1 B. First, we gathered PPG IBIs, actigraphy counts, and on-wrist states in the 2-minute window mentioned above.

Kent Y Feng, Sarah A Short, Sohrab Saeb, Megan K Carroll, Christoph B Olivier, Edgar P Simard, Susan Swope, Donna Williams, Julie Eckstrand, Neha Pagidipati, Svati H Shah, Adrian F Hernandez, Kenneth W Mahaffey

J Med Internet Res 2024;26:e60493

Developing a Sleep Algorithm to Support a Digital Medicine System: Noninterventional, Observational Sleep Study

Developing a Sleep Algorithm to Support a Digital Medicine System: Noninterventional, Observational Sleep Study

ACC: accelerometer; ECG: electrocardiogram; PSG: polysomnography. Figure 1 shows that ACC data were sampled over 14 seconds within every 20-second interval, which provided three 14-second blocks of ACC data per minute.

Jeffrey M Cochran

JMIR Ment Health 2024;11:e62959