Publications by authors named "Kathryn Mangold"

Article Synopsis
  • Researchers aimed to create AI algorithms using 12-lead ECGs to detect left and right ventricular systolic dysfunction (LVSD and RVSD) in children, as early diagnosis can significantly reduce health risks.
  • They analyzed data from over 10,000 pediatric patients and developed models that showed high accuracy in identifying LVSD and RVSD, outperforming existing models designed for adults.
  • The findings suggest that specialized AI tools for children are more effective than those trained on adult data, highlighting the potential for better diagnostic procedures in pediatric cardiac health.
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  • A study investigated how AI-ECG can predict future cardiac risks in patients undergoing hematopoietic cell transplantation (HCT) for blood cancers, finding significant correlations between AI predictions and actual clinical outcomes.* -
  • The research included 1,377 patients and revealed a 9% incidence of atrial fibrillation (AF) in autologous HCT recipients and 13% in allogeneic HCT recipients over a median follow-up of 2.9 years; increased AI-ECG risk estimates were linked to lower overall survival and higher non-relapse mortality.* -
  • Results indicated that using post-transplantation cyclophosphamide instead of calcineurin inhibitors was associated with a higher incidence of
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Aims: Mobile devices such as smartphones and watches can now record single-lead electrocardiograms (ECGs), making wearables a potential screening tool for cardiac and wellness monitoring outside of healthcare settings. Because friends and family often share their smart phones and devices, confirmation that a sample is from a given patient is important before it is added to the electronic health record.

Methods And Results: We sought to determine whether the application of Siamese neural network would permit the diagnostic ECG sample to serve as both a medical test and biometric identifier.

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  • Researchers tested an AI-enhanced ECG for detecting cardiac amyloidosis (CA) in a group of 440 diagnosed patients, compared to a control group of 6,600 who were matched by age and sex.
  • The AI's performance showed an area under the curve (AUC) of 0.84, which is a decrease from an earlier study that reported an AUC of 0.91, indicating slight deterioration in accuracy.
  • The AI performed well across different racial groups but struggled with Hispanic patients and conditions like left ventricular hypertrophy and left bundle branch block, highlighting the need for targeted improvements in these areas.
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  • Biological age could be a better indicator of health risks and life expectancy than just chronological age.
  • Recent advancements in artificial intelligence have improved methods to estimate biological age by analyzing electrocardiograms (ECGs), though the predictions still have some inaccuracies.
  • The differences between AI-predicted age and actual age (delta age) might offer insights into biological health and could lead to a new way of assessing biological age through accessible ECG technology, potentially using smartphones or wearables.
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  • A study looked at how well artificial intelligence (AI) can help find heart problems in breast cancer patients who received a specific type of chemotherapy called anthracycline.
  • Cardiotoxicity, which means heart damage, is a big concern with this treatment, so it’s important to catch it early.
  • The AI system was found to be really good at detecting dangerous drops in heart function, which could help patients monitor their heart health without needing expensive medical tests.
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Computational modeling of ion channels provides key insight into experimental electrophysiology results and can be used to connect channel dynamics to emergent phenomena observed at the tissue and organ levels. However, creation of these models requires substantial mathematical and computational background. This tutorial seeks to lower the barrier to creating these models by providing an automated pipeline for creating Markov models of an ion channel kinetics dataset.

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Markov models of ion channel dynamics have evolved as experimental advances have improved our understanding of channel function. Past studies have examined limited sets of various topologies for Markov models of channel dynamics. We present a systematic method for identification of all possible Markov model topologies using experimental data for two types of native voltage-gated ion channel currents: mouse atrial sodium currents and human left ventricular fast transient outward potassium currents.

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Antiarrhythmic treatment strategies remain suboptimal due to our inability to predict how drug interactions with ion channels will affect the ability of the tissues to initiate and sustain an arrhythmia. We built a multiscale molecular model of the Na channel domain III (domain III voltage-sensing domain) to highlight the molecular underpinnings responsible for mexiletine drug efficacy. This model predicts that a hyperpolarizing shift in the domain III voltage-sensing domain is critical for drug efficacy and may be leveraged to design more potent Class I molecules.

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Shortly after cardiac Na channels activate and initiate the action potential, inactivation ensues within milliseconds, attenuating the peak Na current, I and allowing the cell membrane to repolarize. A very limited number of Na channels that do not inactivate carry a persistent I, or late I. While late I is only a small fraction of peak magnitude, it significantly prolongs ventricular action potential duration, which predisposes patients to arrhythmia.

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Urea destabilizes helical and folded conformations of nucleic acids and proteins, as well as protein-nucleic acid complexes. To understand these effects, extend previous characterizations of interactions of urea with protein functional groups, and thereby develop urea as a probe of conformational changes in protein and nucleic acid processes, we obtain chemical potential derivatives (μ23 = dμ2/dm3) quantifying interactions of urea (component 3) with nucleic acid bases, base analogues, nucleosides, and nucleotide monophosphates (component 2) using osmometry and hexanol-water distribution assays. Dissection of these μ23 values yields interaction potentials quantifying interactions of urea with unit surface areas of nucleic acid functional groups (heterocyclic aromatic ring, ring methyl, carbonyl and phosphate O, amino N, sugar (C and O); urea interacts favorably with all these groups, relative to interactions with water.

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