Tseng Andrew S, Noseworthy Peter A
Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, United States.
Front Physiol. 2021 Oct 28;12:752317. doi: 10.3389/fphys.2021.752317. eCollection 2021.
There has been recent immense interest in the use of machine learning techniques in the prediction and screening of atrial fibrillation, a common rhythm disorder present with significant clinical implications primarily related to the risk of ischemic cerebrovascular events and heart failure. Prior to the advent of the application of artificial intelligence in clinical medicine, previous studies have enumerated multiple clinical risk factors that can predict the development of atrial fibrillation. These clinical parameters include previous diagnoses, laboratory data (e.g., cardiac and inflammatory biomarkers, etc.), imaging data (e.g., cardiac computed tomography, cardiac magnetic resonance imaging, echocardiography, etc.), and electrophysiological data. These data are readily available in the electronic health record and can be automatically queried by artificial intelligence algorithms. With the modern computational capabilities afforded by technological advancements in computing and artificial intelligence, we present the current state of machine learning methodologies in the prediction and screening of atrial fibrillation as well as the implications and future direction of this rapidly evolving field.
最近,机器学习技术在心房颤动的预测和筛查中的应用引起了极大关注。心房颤动是一种常见的心律失常,具有重大的临床意义,主要与缺血性脑血管事件和心力衰竭的风险相关。在人工智能应用于临床医学之前,先前的研究已经列举了多种可预测心房颤动发生的临床危险因素。这些临床参数包括既往诊断、实验室数据(如心脏和炎症生物标志物等)、影像学数据(如心脏计算机断层扫描、心脏磁共振成像、超声心动图等)以及电生理数据。这些数据在电子健康记录中很容易获取,并且可以由人工智能算法自动查询。随着计算和人工智能技术进步所提供的现代计算能力,我们介绍了机器学习方法在心房颤动预测和筛查中的现状,以及这个快速发展领域的意义和未来方向。