Deep learning-derived cardiovascular age shares a genetic basis with other cardiac phenotypes

Abstract Artificial intelligence (AI)-based approaches can now use electrocardiograms (ECGs) to provide expert-level performance in detecting heart abnormalities and diagnosing disease. Additionally, patient age predicted from ECGs by AI models has shown great potential as a biomarker for cardiovasc...

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Main Authors: Julian Libiseller-Egger, Jody E. Phelan, Zachi I. Attia, Ernest Diez Benavente, Susana Campino, Paul A. Friedman, Francisco Lopez-Jimenez, David A. Leon, Taane G. Clark
Format: Article
Language:English
Published: Nature Portfolio 2022-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-27254-z
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author Julian Libiseller-Egger
Jody E. Phelan
Zachi I. Attia
Ernest Diez Benavente
Susana Campino
Paul A. Friedman
Francisco Lopez-Jimenez
David A. Leon
Taane G. Clark
author_facet Julian Libiseller-Egger
Jody E. Phelan
Zachi I. Attia
Ernest Diez Benavente
Susana Campino
Paul A. Friedman
Francisco Lopez-Jimenez
David A. Leon
Taane G. Clark
author_sort Julian Libiseller-Egger
collection DOAJ
description Abstract Artificial intelligence (AI)-based approaches can now use electrocardiograms (ECGs) to provide expert-level performance in detecting heart abnormalities and diagnosing disease. Additionally, patient age predicted from ECGs by AI models has shown great potential as a biomarker for cardiovascular age, where recent work has found its deviation from chronological age (“delta age”) to be associated with mortality and co-morbidities. However, despite being crucial for understanding underlying individual risk, the genetic underpinning of delta age is unknown. In this work we performed a genome-wide association study using UK Biobank data (n=34,432) and identified eight loci associated with delta age ( $$p\le 5 \times 10^{-8}$$ p ≤ 5 × 10 - 8 ), including genes linked to cardiovascular disease (CVD) (e.g. SCN5A) and (heart) muscle development (e.g. TTN). Our results indicate that the genetic basis of cardiovascular ageing is predominantly determined by genes directly involved with the cardiovascular system rather than those connected to more general mechanisms of ageing. Our insights inform the epidemiology of CVD, with implications for preventative and precision medicine.
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spelling doaj.art-379ddc9b3fe843058aa78cf23f1306e22023-01-01T12:16:56ZengNature PortfolioScientific Reports2045-23222022-12-0112111110.1038/s41598-022-27254-zDeep learning-derived cardiovascular age shares a genetic basis with other cardiac phenotypesJulian Libiseller-Egger0Jody E. Phelan1Zachi I. Attia2Ernest Diez Benavente3Susana Campino4Paul A. Friedman5Francisco Lopez-Jimenez6David A. Leon7Taane G. Clark8Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical MedicineDepartment of Cardiovascular Medicine, Mayo Clinic College of MedicineFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical MedicineFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical MedicineDepartment of Cardiovascular Medicine, Mayo Clinic College of MedicineDepartment of Cardiovascular Medicine, Mayo Clinic College of MedicineFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical MedicineFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical MedicineAbstract Artificial intelligence (AI)-based approaches can now use electrocardiograms (ECGs) to provide expert-level performance in detecting heart abnormalities and diagnosing disease. Additionally, patient age predicted from ECGs by AI models has shown great potential as a biomarker for cardiovascular age, where recent work has found its deviation from chronological age (“delta age”) to be associated with mortality and co-morbidities. However, despite being crucial for understanding underlying individual risk, the genetic underpinning of delta age is unknown. In this work we performed a genome-wide association study using UK Biobank data (n=34,432) and identified eight loci associated with delta age ( $$p\le 5 \times 10^{-8}$$ p ≤ 5 × 10 - 8 ), including genes linked to cardiovascular disease (CVD) (e.g. SCN5A) and (heart) muscle development (e.g. TTN). Our results indicate that the genetic basis of cardiovascular ageing is predominantly determined by genes directly involved with the cardiovascular system rather than those connected to more general mechanisms of ageing. Our insights inform the epidemiology of CVD, with implications for preventative and precision medicine.https://doi.org/10.1038/s41598-022-27254-z
spellingShingle Julian Libiseller-Egger
Jody E. Phelan
Zachi I. Attia
Ernest Diez Benavente
Susana Campino
Paul A. Friedman
Francisco Lopez-Jimenez
David A. Leon
Taane G. Clark
Deep learning-derived cardiovascular age shares a genetic basis with other cardiac phenotypes
Scientific Reports
title Deep learning-derived cardiovascular age shares a genetic basis with other cardiac phenotypes
title_full Deep learning-derived cardiovascular age shares a genetic basis with other cardiac phenotypes
title_fullStr Deep learning-derived cardiovascular age shares a genetic basis with other cardiac phenotypes
title_full_unstemmed Deep learning-derived cardiovascular age shares a genetic basis with other cardiac phenotypes
title_short Deep learning-derived cardiovascular age shares a genetic basis with other cardiac phenotypes
title_sort deep learning derived cardiovascular age shares a genetic basis with other cardiac phenotypes
url https://doi.org/10.1038/s41598-022-27254-z
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