Heart-trace models trained apart did slightly better on new data
Average absolute age-estimation error was 7.74 years with federated training versus 8.04 years with pooled training in external testing.

Our read
Biomarkers- Studied:
- Computational study of 1,202,162 ECGs, against pooled training
- What changed:
- Average absolute age-estimation error was lower with federated training: 7.74 years versus 8.04 years with pooled training
- The catch:
- The federated setup was simulated; operation across institutions was not measured
Editor of record: Boris Djordjevic · AgingResearch.News
An independent cohort of 1,202,162 electrocardiograms—recordings of the heart’s electrical activity—provided the external test in a computational comparison of age-estimation models. One model used simulated federated learning: four separate data sources contributed to training without pooling recordings. The comparison model trained on pooled recordings using the same model design and preprocessing.
Although pooled training performed slightly better internally, federated training estimated age more accurately in external testing. For both models, older predicted age relative to actual age was associated with higher odds of heart failure and other diseases, after accounting for age, sex and race. The models’ ability to distinguish mortality outcomes was similar.
Why it matters
Using heart recordings to study age-related health depends on models that work beyond their training data. The authors supported federated modeling as an option when institutions cannot pool recordings.
Caveats
The federated setup was simulated, rather than tested in operation across institutions. The conference abstract did not give the external cohort’s ages or health profile, limiting assessment of applicability to particular patients.
- Deep learning
- Heart failure
- Atrial fibrillation
- Chronic kidney disease
- Chronic obstructive pulmonary disease
- Humans
The paper
Univ of North Carolina; Univ of North Carolina at Chapel Hill
AHA Scientific Sessions 2026 Abstract, Nov 2, 2026
Presented at AHA Scientific Sessions 2026, abstract 19023




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