Multimodal fusion of EHR and ECG based on deep learning for predicting new-onset coronary heart disease in cancer patients - Summary - MDSpire

Multimodal fusion of EHR and ECG based on deep learning for predicting new-onset coronary heart disease in cancer patients

  • By

  • Sheng Zhang

  • Wei Wang

  • June 17, 2026

  • 0 min

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Objective:

To develop a multimodal deep learning model for predicting new-onset coronary heart disease (CHD) in cancer patients.

Approach:
    Key Findings:
    • Out of 1262 patients, 722 (57.2%) developed new-onset CHD, with 696 (55.2%) classified as early-stage (Stage II).
    • The CNN-LSTM model achieved an AUC of 0.975, outperforming seven conventional machine learning models.
    • In subgroup analysis, the model yielded an AUC of 0.924 in early-stage patients and 0.888 in late-stage patients.
    • SHAP analysis identified PAB, CRP, age, cTnI, PT, and ECG markers (HR, QT, QTc intervals) as the strongest predictive features.
    Interpretation:

    Remove this section.

    Limitations:
    • Retrospective design may introduce bias.
    • Single-center study limits generalizability.
    • Potential for incomplete data affecting model accuracy.
    Conclusion:

    Revise to avoid implications about clinical practice.

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