Deep representation learning of electrocardiogram reveals biological insights in cardiac phenotypes and cardiovascular diseases
Ming Wai Yeung, Rutger R. van de Leur, Jan Walter Benjamins, Melle B. Vessies, Bram Ruijsink, Esther Puyol-Antón, J. Peter van Tintelen, Niek Verweij, René van Es, Pim van der Harst

TL;DR
This study uses deep learning on ECG data to uncover new biological insights and genetic links to heart health and disease.
Contribution
A novel deep learning approach generates interpretable latent factors from ECGs, revealing new genetic associations and cardiovascular insights.
Findings
Latent factors from ECG data correlate with traditional and emerging cardiac biomarkers.
170 genetic loci were identified, including 29 new ones linked to ECG phenotypes.
Latent factors show strong associations with conduction, rhythm, and structural heart disorders.
Abstract
Conventional approaches to analyzing electrocardiograms (ECG) in discrete parameters (such as the PR interval) ignored the high dimensionality of data omitted subtle but relevant information. We applied a variational auto-encoder to learn the underlying distributions of the ECG of 41,927 UK Biobank participants, generating 32-dimensional representation (latent factors). The latent factors showed correlations to conventional ECG parameters and strong associations to cardiac phenotypes estimated from magnetic resonance imaging. We found definitive associations of the latent factors to conduction, rhythm, and structural disorders (all p < 4.51 × 10−308) and additionally value in mortality prediction. Genome wide association study (GWAS) of the latent factors, revealed 170 genetic loci with 29 not previously associated with electrocardiographic phenotypes. Further characterization of the…
Genes, proteins, chemicals, diseases, species, mutations and cell lines named across the full text — each resolved to its canonical identifier and authoritative record.
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Taxonomy
TopicsBioinformatics and Genomic Networks · Machine Learning in Bioinformatics · ECG Monitoring and Analysis
