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Rapid Exclusion of ...
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Attia, Zachi I.Mayo Clin, MN USA,Mayo Clinic Minnesota
(author)
Rapid Exclusion of COVID Infection With the Artificial Intelligence Electrocardiogram
- Article/chapterEnglish2021
Publisher, publication year, extent ...
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ELSEVIER SCIENCE INC,2021
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:liu-178954
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-178954URI
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https://doi.org/10.1016/j.mayocp.2021.05.027DOI
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https://lup.lub.lu.se/record/c9889b2c-5123-4512-b4cc-cddcb731d4bcURI
Supplementary language notes
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Language:English
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Summary in:English
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Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Funding Agencies|Mayo Clinic Cardiovascular Research Center for resources; Mayo Clinic
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Objective: To rapidly exclude severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection using artificial intelligence applied to the electrocardiogram (ECG). Methods: A global, volunteer consortium from 4 continents identified patients with ECGs obtained around the time of polymerase chain reaction-confirmed COVID-19 diagnosis and age- and sex-matched controls from the same sites. Clinical characteristics, polymerase chain reaction results, and raw electrocardiographic data were collected. A convolutional neural network was trained using 26,153 ECGs (33.2% COVID positive), validated with 3826 ECGs (33.3% positive), and tested on 7870 ECGs not included in other sets (32.7% positive). Performance under different prevalence values was tested by adding control ECGs from a single high-volume site. Results: The area under the curve for detection of acute COVID-19 infection in the test group was 0.767 (95% CI, 0.756 to 0.778; sensitivity, 98%; specificity, 10%; positive predictive value, 37%; negative predictive value, 91%). To more accurately reflect a real-world population, 50,905 normal controls were added to adjust the COVID prevalence to approximately 5% (2657/58,555), resulting in an area under the curve of 0.780 (95% CI, 0.771 to 0.790) with a specificity of 12.1% and a negative predictive value of 99.2%. Conclusion: Infection with SARS-CoV-2 results in electrocardiographic changes that permit the artificial intelligence-enhanced ECG to be used as a rapid screening test with a high negative predictive value (99.2%). This may permit the development of electrocardiography-based tools to rapidly screen individuals for pandemic control. (C) 2021 Mayo Foundation Medical Education and Research
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Kapa, SurajMayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Dugan, JenniferMayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Pereira, NaveenMayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Noseworthy, Peter A.Mayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Jimenez, Francisco LopezMayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Cruz, JessicaMayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Carter, Rickey E.Mayo Clin, FL 32224 USA,Mayo Clinic Florida
(author)
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DeSimone, Daniel C.Mayo Clin, MN USA; Mayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Signorino, JohnMayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Halamka, JohnMayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Gari, Nikhita R. ChennaiahMayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Madathala, Raja SekharMayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Platonov, Pyotr G.Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Electrocardiology Research Group - CIEL,Forskargrupper vid Lunds universitet,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups,Skåne University Hospital(Swepub:lu)kard-ppl
(author)
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Gul, FahadEinstein Healthcare Network, PA USA
(author)
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Janssens, Stefan P.Katholieke Univ Leuven, Belgium,University Hospitals Leuven
(author)
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Narayan, SanjivStanford Univ, CA 94305 USA; Stanford Univ, CA 94305 USA
(author)
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Upadhyay, Gaurav A.Univ Chicago, IL 60637 USA
(author)
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Alenghat, Francis J.Univ Chicago, IL 60637 USA
(author)
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Lahiri, Marc K.Henry Ford Hosp, MI 48202 USA,Henry Ford Health System
(author)
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Dujardin, KarlAZ Delta Hosp, Belgium
(author)
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Hermel, MelodyScripps Hlth, CA USA; Scripps Clin, CA 92037 USA
(author)
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Dominic, PaariLouisiana State Univ, LA 71105 USA
(author)
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Turk-Adawi, KaramQatar Univ, Qatar,Qatar University
(author)
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Asaad, NidalHamad Med Corp, Qatar,Hamad Medical Corporation
(author)
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Svensson, AnneliLinköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US,Linköping University Hospital(Swepub:lu)an1284sv
(author)
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Fernandez-Aviles, FranciscoUniv Complutense, Spain
(author)
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Esakof, Darryl D.Lahey Hosp & Med Ctr, MA USA,Lahey Hospital & Medical Center
(author)
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Bartunek, JozefOnze Lieve Vrouw Hosp, Belgium
(author)
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Noheria, AmitUniv Kansas Hlth Syst, KS USA
(author)
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Sridhar, Arun R.Univ Washington, WA 98195 USA,University of Washington, Seattle
(author)
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Lanza, Gaetano A.Univ Cattolica Sacro Cuore, Italy,Policlinico Universitario Agostino Gemelli
(author)
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Cohoon, KevinFroedtert & Med Coll Wisconsin, WI USA,Medical College of Wisconsin
(author)
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Padmanabhan, DeepakSri Jayadeva Inst Cardiovasc Sci & Res, India
(author)
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Gutierrez, Jose Alberto PardoClin Santa Maria, Chile
(author)
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Sinagra, GianfrancoCardiovasc Dept Ospedali Riuniti, Italy; Univ Trieste, Italy,University of Trieste
(author)
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Merlo, MarcoCardiovasc Dept Ospedali Riuniti, Italy; Univ Trieste, Italy,University of Trieste
(author)
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Zagari, DomenicoHumanitas Mater Domini Clin Inst, Italy
(author)
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Escenaro, Brenda D. RodriguezMedica Sur, Mexico
(author)
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Pahlajani, Dev B.Breach Candy Hosp Trust, India
(author)
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Loncar, GoranInst Cardiovasc Dis Dedinje ICVDD, Serbia
(author)
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Vukomanovic, VladanUniv Hosp Ctr Dr Dragisa Misov Dedinje, Serbia
(author)
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Jensen, Henrik K.Aarhus Univ Hosp, Denmark,Aarhus University Hospital
(author)
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Farkouh, Michael E.Univ Toronto, Canada,University of Toronto
(author)
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Luescher, Thomas F.Royal Brompton & Harefield Hosp, England,Royal Brompton and Harefield NHS Foundation Trust
(author)
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Ping, Carolyn Lam SuNatl Heart Ctr, Singapore; Duke Natl Univ Singapore, Singapore,Duke–NUS Medical School
(author)
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Peters, Nicholas S.Imperial Coll London, England,Imperial College London
(author)
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Friedman, Paul A.Mayo Clin, MN USA,Mayo Clinic Minnesota
(author)
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Mayo Clin, MN USAMayo Clinic Minnesota
(creator_code:org_t)
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In:Mayo Clinic proceedings: ELSEVIER SCIENCE INC96:8, s. 2081-20940025-61961942-5546
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Attia, Zachi I.
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Kapa, Suraj
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Dugan, Jennifer
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Pereira, Naveen
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Noseworthy, Pete ...
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Jimenez, Francis ...
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Cruz, Jessica
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Carter, Rickey E ...
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DeSimone, Daniel ...
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Signorino, John
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Halamka, John
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Gari, Nikhita R. ...
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Madathala, Raja ...
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Platonov, Pyotr ...
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Gul, Fahad
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Janssens, Stefan ...
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Narayan, Sanjiv
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Upadhyay, Gaurav ...
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Alenghat, Franci ...
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Lahiri, Marc K.
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Dujardin, Karl
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Hermel, Melody
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Dominic, Paari
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Turk-Adawi, Kara ...
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Asaad, Nidal
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Svensson, Anneli
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Fernandez-Aviles ...
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Esakof, Darryl D ...
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Bartunek, Jozef
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Noheria, Amit
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Sridhar, Arun R.
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Lanza, Gaetano A ...
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Cohoon, Kevin
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Padmanabhan, Dee ...
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Gutierrez, Jose ...
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Sinagra, Gianfra ...
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Merlo, Marco
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Zagari, Domenico
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Loncar, Goran
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Linköping University
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Lund University