Paul Nona, Juma Bin Firos, Carrie Zografos, Mark J Schuuring, Ami Bhatt, Efstathia Andrikopoulou
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引用次数: 0
Abstract
Purpose of review: This review synthesizes recent progress in applications of artificial intelligence to heart failure care, including phenotyping, risk stratification, imaging interpretation, and point-of-care decision support, and delineates barriers that currently limit safe and equitable clinical translation.
Recent findings: Clinical datasets remain heterogeneous and incomplete; fragmentation across electronic records, telemetry, and imaging repositories constrains generalizability and external validity. Underrepresentation of key subgroups and outcome misclassification introduce systematic error that can widen disparities. Performance drifts as therapies and workflows evolve, yet monitoring after deployment is uncommon. Model opacity hinders error analysis and clinician trust. Regulatory and data-sharing frameworks are evolving and inconsistent, complicating multisite validation and ongoing surveillance. Mitigation strategies with the strongest support include rigorous cohort curation; transparent reporting; geographic and temporal external validation; prospective pilots with prespecified safety checks; bias auditing with equity metrics; concise documentation such as model cards and factsheets; continuous monitoring with clear contingency and rollback plans; and human oversight embedded throughout governance. Embedding safeguards into development and implementation can enable AI to deliver measurable value in heart failure care while protecting patient safety and equity. Immediate priorities are robust evaluation, routine surveillance for drift and harm, and alignment with outcomes that matter to patients.
期刊介绍：
This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of heart failure. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as investigative, pharmacologic, and nonpharmacologic therapies, pathophysiology, and prevention. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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