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关于机器学习在心房颤动检测中有效性的系统评价

A Systematic Review on the Effectiveness of Machine Learning in the Detection of Atrial Fibrillation.

作者信息

Abdulraheem Lubabat Wuraola, Al-Dwa Baraah, Shchekochikhin Dmitry, Gognieva Daria, Chomakhidze Petr, Kuznetsova Natalia, Kopylov Philipp, Bestavashvilli Afina Avtandilovna

机构信息

World-Class Research Center «Digital Biodesign and Personalized Healthcare», I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, Russia.

出版信息

Curr Cardiol Rev. 2025;21(1):e310724232529. doi: 10.2174/011573403X293703240715104503.

DOI:10.2174/011573403X293703240715104503
PMID:39092649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12060928/
Abstract

Recent endeavors have led to the exploration of Machine Learning (ML) to enhance the detection and accurate diagnosis of heart pathologies. This is due to the growing need to improve efficiency in diagnostics and hasten the process of delivering treatment. Several institutions have actively assessed the possibility of creating algorithms for advancing our understanding of atrial fibrillation (AF), a common form of sustained arrhythmia. This means that artificial intelligence is now being used to analyze electrocardiogram (ECG) data. The data is typically extracted from large patient databases and then subsequently used to train and test the algorithm with the help of neural networks. Machine learning has been used to effectively detect atrial fibrillation with more accuracy than clinical experts, and if applied to clinical practice, it will aid in early diagnosis and management of the condition and thus reduce thromboembolic complications of the disease. In this text, a review of the application of machine learning in the analysis and detection of atrial fibrillation, a comparison of the outcomes (sensitivity, specificity, and accuracy), and the framework and methods of the studies conducted have been presented.

摘要

最近的努力促使人们探索机器学习(ML),以加强对心脏疾病的检测和准确诊断。这是因为提高诊断效率和加快治疗过程的需求日益增长。几家机构已经积极评估了创建算法以推进我们对心房颤动(AF)理解的可能性,心房颤动是一种常见的持续性心律失常形式。这意味着现在人工智能正被用于分析心电图(ECG)数据。这些数据通常从大型患者数据库中提取,然后在神经网络的帮助下用于训练和测试算法。机器学习已被用于比临床专家更准确地有效检测心房颤动,如果应用于临床实践,将有助于该病症的早期诊断和管理,从而减少该疾病的血栓栓塞并发症。本文对机器学习在心房颤动分析和检测中的应用、结果(敏感性、特异性和准确性)比较以及所开展研究的框架和方法进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/1f7becc54b8c/CCR-21-1-E310724232529_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/e1636bfc2091/CCR-21-1-E310724232529_F1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/30b01e9203fd/CCR-21-1-E310724232529_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/d966c293936f/CCR-21-1-E310724232529_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/21abff3db459/CCR-21-1-E310724232529_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/1f7becc54b8c/CCR-21-1-E310724232529_F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/e1636bfc2091/CCR-21-1-E310724232529_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/738f8b390076/CCR-21-1-E310724232529_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/30b01e9203fd/CCR-21-1-E310724232529_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/d966c293936f/CCR-21-1-E310724232529_F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/21abff3db459/CCR-21-1-E310724232529_F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/029c/12060928/1f7becc54b8c/CCR-21-1-E310724232529_F6.jpg

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本文引用的文献

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Catheter Ablation Approaches for the Treatment of Arrhythmia Recurrence in Patients with a Durable Pulmonary Vein Isolation.导管消融治疗持续性肺静脉隔离患者心律失常复发的方法。
Balkan Med J. 2023 Oct 20;40(6):386-394. doi: 10.4274/balkanmedj.galenos.2023.2023-9-48. Epub 2023 Oct 10.
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Machine learning model for predicting late recurrence of atrial fibrillation after catheter ablation.机器学习模型预测导管消融后心房颤动的晚期复发。
Sci Rep. 2023 Sep 14;13(1):15213. doi: 10.1038/s41598-023-42542-y.
3
Prevalence of Cardiovascular Risk Factors and Coronary Angiographic Findings in High-Risk Immigrant Communities in Italy.
意大利高危移民社区心血管危险因素的患病率及冠状动脉造影结果
J Pers Med. 2023 May 23;13(6):882. doi: 10.3390/jpm13060882.
4
Current and Future Use of Artificial Intelligence in Electrocardiography.人工智能在心电图中的当前及未来应用
J Cardiovasc Dev Dis. 2023 Apr 17;10(4):175. doi: 10.3390/jcdd10040175.
5
An Artificial Intelligence-Enabled ECG Algorithm for Predicting the Risk of Recurrence in Patients with Paroxysmal Atrial Fibrillation after Catheter Ablation.一种用于预测阵发性心房颤动患者导管消融术后复发风险的人工智能心电图算法
J Clin Med. 2023 Mar 1;12(5):1933. doi: 10.3390/jcm12051933.
6
Telemedicine practices in adult patients with atrial fibrillation.成人心房颤动患者的远程医疗实践。
J Am Assoc Nurse Pract. 2022 Aug 1;34(8):957-962. doi: 10.1097/JXX.0000000000000743.
7
Clinical significance, challenges and limitations in using artificial intelligence for electrocardiography-based diagnosis.基于心电图的人工智能诊断的临床意义、挑战与局限
Int J Arrhythmia. 2022;23(1):24. doi: 10.1186/s42444-022-00075-x. Epub 2022 Oct 1.
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Heart Lung. 2023 Jan-Feb;57:69-74. doi: 10.1016/j.hrtlng.2022.08.012. Epub 2022 Sep 7.
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AFA-Recur: an ESC EORP AFA-LT registry machine-learning web calculator predicting atrial fibrillation recurrence after ablation.AFA-Recur:一项 ESC EORP AFA-LT 注册的机器学习网络计算器,用于预测消融术后心房颤动的复发。
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