A wrist-worn single-lead ECG now flags 13 structural heart conditions, supervised by routine echo reports
A Peking University-led team aligned routine single-lead ECG with physician-authored echocardiography reports to train AnyECG-Echo, a screening framework that resolves 13 fine-grained structural heart disease subtypes at once. Earlier AI-ECG models mostly required 12-lead input, were validated within a single health system, or needed per-condition manual labels. Across internal, temporal and geographically independent external cohorts totaling 25,222 patients, the framework reached high AUROC for high-impact subtypes such as reduced left ventricular systolic function, global heart enlargement and mitral stenosis, and retained usable discrimination in the external cohort.