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Artificial Intelligence in Atrial Fibrillation: From Early Detection to Precision Therapy.

作者信息

Karakasis Paschalis, Theofilis Panagiotis, Sagris Marios, Pamporis Konstantinos, Stachteas Panagiotis, Sidiropoulos Georgios, Vlachakis Panayotis K, Patoulias Dimitrios, Antoniadis Antonios P, Fragakis Nikolaos

机构信息

Second Department of Cardiology, Hippokration General Hospital, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.

First Cardiology Department, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.

出版信息

J Clin Med. 2025 Apr 11;14(8):2627. doi: 10.3390/jcm14082627.


DOI:10.3390/jcm14082627
PMID:40283456
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12027562/
Abstract

Atrial fibrillation (AF) is the most prevalent cardiac arrhythmia, associated with significant morbidity, mortality, and healthcare burden. Despite advances in AF management, challenges persist in early detection, risk stratification, and treatment optimization, necessitating innovative solutions. Artificial intelligence (AI) has emerged as a transformative tool in AF care, leveraging machine learning and deep learning algorithms to enhance diagnostic accuracy, improve risk prediction, and guide therapeutic interventions. AI-powered electrocardiographic screening has demonstrated the ability to detect asymptomatic AF, while wearable photoplethysmography-based technologies have expanded real-time rhythm monitoring beyond clinical settings. AI-driven predictive models integrate electronic health records and multimodal physiological data to refine AF risk stratification, stroke prediction, and anticoagulation decision making. In the realm of treatment, AI is revolutionizing individualized therapy and optimizing anticoagulation management and catheter ablation strategies. Notably, AI-enhanced electroanatomic mapping and real-time procedural guidance hold promise for improving ablation success rates and reducing AF recurrence. Despite these advancements, the clinical integration of AI in AF management remains an evolving field. Future research should focus on large-scale validation, model interpretability, and regulatory frameworks to ensure widespread adoption. This review explores the current and emerging applications of AI in AF, highlighting its potential to enhance precision medicine and patient outcomes.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8da/12027562/05182d0a67ec/jcm-14-02627-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8da/12027562/05182d0a67ec/jcm-14-02627-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8da/12027562/05182d0a67ec/jcm-14-02627-g001.jpg

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[6]
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[7]
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本文引用的文献

[1]
Detection of atrial fibrillation from pulse waves using convolution neural networks and recurrence-based plots.

Chaos. 2025-3-1

[2]
Prevalence of asymptomatic atrial fibrillation and risk factors associated with asymptomatic status: a systematic review and meta-analysis.

Eur J Prev Cardiol. 2025-3-7

[3]
Artificial intelligence for individualized treatment of persistent atrial fibrillation: a randomized controlled trial.

Nat Med. 2025-4

[4]
Global, regional, and national burden of atrial fibrillation and atrial flutter from 1990 to 2021: sex differences and global burden projections to 2046-a systematic analysis of the Global Burden of Disease Study 2021.

Europace. 2025-2-5

[5]
Atrial Fibrosis in Atrial Fibrillation: Mechanistic Insights, Diagnostic Challenges, and Emerging Therapeutic Targets.

Int J Mol Sci. 2024-12-30

[6]
A novel network with enhanced edge information for left atrium segmentation from LGE-MRI.

Front Physiol. 2024-12-10

[7]
Artificial Intelligence-Based Feature Analysis of Pulmonary Vein Morphology on Computed Tomography Scans and Risk of Atrial Fibrillation Recurrence After Catheter Ablation: A Multi-Site Study.

Circ Arrhythm Electrophysiol. 2024-12

[8]
Major clinical outcomes in symptomatic vs. asymptomatic atrial fibrillation: a meta-analysis.

Eur Heart J. 2025-4-1

[9]
The Role of Sodium Glucose Co-Transporter 2 Inhibitors in Atrial Fibrillation: A Comprehensive Review.

J Clin Med. 2024-9-12

[10]
Artificial intelligence estimated electrocardiographic age as a recurrence predictor after atrial fibrillation catheter ablation.

NPJ Digit Med. 2024-9-5

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