ESC Congress 2026 Abstract

Heart-age clock linked to heart disease in three human cohorts

Higher heart age relative to actual age was linked to atrial fibrillation, an irregular heartbeat, with hazard ratios of 1.26–1.37, indicating higher relative risk.

Paper by J Barker, S Fathieh, M Mazidi, 11 more authorsF S Ng · Imperial College London
Heart cross-section with enlarged upper chambers beside a smaller gray heart, blood cells with dark protein clusters, and upright faceless people.
Cohort study of peopleBiomarkers

Limit: The abstract did not report participants' ages, follow-up duration, or clock age increments

Edited by Boris Djordjevic · AgingResearch.News

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An observational study tested a heart-age clock in three human cohorts: 62,000 people at Beth Israel Deaconess Medical Center, 45,000 in the Airwave Health Monitoring Study and 1.2 million at Massachusetts General Hospital. Researchers trained an artificial intelligence model on 1.2 million electrocardiograms from the first center. These recordings measure the heart’s electrical activity. They compared the model’s age estimates with people’s actual ages and analyzed associations with heart conditions, accounting for age and sex.

Higher estimated age relative to actual age was associated with heart rhythm disorders, heart failure and other structural heart conditions. In an Airwave subset, the age gap also correlated with enlarged upper heart chambers and a lower fraction of blood pumped out with each heartbeat. Blood protein analysis in that subset found an inflammatory pattern.

Why it matters

Measuring cardiovascular aging could help researchers assess disease risk and select participants for clinical trials. The authors proposed these uses for the clock, alongside identifying potential treatment targets.

Caveats

These observational associations do not show that accelerated clock age causes heart disease or that using the clock improves care. The conference abstract did not report participants’ ages, follow-up duration or the increase in clock age represented by its hazard ratios.