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生活质量对心律失常的影响:一项临床、人口统计学及人工智能辅助的统计调查。

The Impact of Quality of Life on Cardiac Arrhythmias: A Clinical, Demographic, and AI-Assisted Statistical Investigation.

作者信息

Nechita Luiza Camelia, Tupu Ancuta Elena, Nechita Aurel, Voipan Daniel, Voipan Andreea Elena, Tutunaru Dana, Musat Carmina Liana

机构信息

Faculty of Medicine and Pharmacy, 'Dunarea de Jos' University of Galati, 800008 Galati, Romania.

Faculty of Automation, Computers, Electrical Engineering and Electronics, 'Dunarea de Jos' University of Galati, 800008 Galati, Romania.

出版信息

Diagnostics (Basel). 2025 Mar 27;15(7):856. doi: 10.3390/diagnostics15070856.

DOI:10.3390/diagnostics15070856
PMID:40218205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11988298/
Abstract

: Cardiac arrhythmias impact quality of life (QoL) and are often linked to psychological distress. This study examines the relationship between QoL, depression, and arrhythmias using AI-assisted analysis to enhance patient management. : A total of 145 patients with arrhythmias were assessed using an SF-36 health survey (QoL) and a PHQ-9 questionnaire (depression). Statistical analyses included regression, clustering, and AI-based models such as K-means and logistic regression to identify risk factors and patient subgroups. : Patients with comorbidities had lower QoL and higher depression scores. PHQ-9 scores negatively correlated with SF-36 mental health components. AI-assisted clustering identified distinct patient subgroups, with older individuals and those with longer disease duration exhibiting the lowest QoL. Logistic regression predicted depression with 93% accuracy, and XGBoost achieved an AUC of 0.97. : QoL plays a key role in arrhythmia management, with depression significantly influencing outcomes. AI-driven predictive models offer personalized interventions, improving early detection and treatment. Future research should integrate wearable technology and AI-based monitoring to optimize patient care.

摘要

心律失常会影响生活质量(QoL),并且常常与心理困扰有关。本研究使用人工智能辅助分析来改善患者管理,探讨生活质量、抑郁症和心律失常之间的关系。

共有145名心律失常患者接受了SF-36健康调查(生活质量)和PHQ-9问卷(抑郁症)评估。统计分析包括回归分析、聚类分析以及基于人工智能的模型,如K均值和逻辑回归,以识别风险因素和患者亚组。

患有合并症的患者生活质量较低,抑郁得分较高。PHQ-9得分与SF-36心理健康成分呈负相关。人工智能辅助聚类识别出不同的患者亚组,年龄较大和病程较长的患者生活质量最低。逻辑回归预测抑郁症的准确率为93%,XGBoost的曲线下面积(AUC)为0.97。

生活质量在心律失常管理中起着关键作用,抑郁症对治疗结果有显著影响。人工智能驱动的预测模型提供个性化干预措施,改善早期检测和治疗。未来的研究应整合可穿戴技术和基于人工智能的监测,以优化患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c39/11988298/8a41d2ae3971/diagnostics-15-00856-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c39/11988298/605929b5fbac/diagnostics-15-00856-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c39/11988298/5438a970b2b4/diagnostics-15-00856-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c39/11988298/8a41d2ae3971/diagnostics-15-00856-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c39/11988298/605929b5fbac/diagnostics-15-00856-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c39/11988298/2f331e9f21d4/diagnostics-15-00856-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c39/11988298/5438a970b2b4/diagnostics-15-00856-g003.jpg
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本文引用的文献

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A Resting ECG Screening Protocol Improved with Artificial Intelligence for the Early Detection of Cardiovascular Risk in Athletes.一种借助人工智能改进的静息心电图筛查方案,用于早期检测运动员的心血管风险。
Diagnostics (Basel). 2025 Feb 16;15(4):477. doi: 10.3390/diagnostics15040477.
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Global Health Inequities in Electrophysiology Care: A State-of-the-Art Review.
电生理护理中的全球健康不平等:最新综述
JACC Adv. 2024 Dec 26;3(12):101387. doi: 10.1016/j.jacadv.2024.101387. eCollection 2024 Dec.
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Diagnostic Applications of AI in Sports: A Comprehensive Review of Injury Risk Prediction Methods.人工智能在体育领域的诊断应用:损伤风险预测方法的全面综述
Diagnostics (Basel). 2024 Nov 10;14(22):2516. doi: 10.3390/diagnostics14222516.
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AI-Enhanced ECG Applications in Cardiology: Comprehensive Insights from the Current Literature with a Focus on COVID-19 and Multiple Cardiovascular Conditions.人工智能增强型心电图在心脏病学中的应用:基于当前文献的全面见解,重点关注COVID-19和多种心血管疾病。
Diagnostics (Basel). 2024 Aug 23;14(17):1839. doi: 10.3390/diagnostics14171839.
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Cardiac Arrhythmias and Their Management: An In-Depth Review of Current Practices and Emerging Therapies.心律失常及其管理:当前实践与新兴疗法的深入综述
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