基于心电图的诊断和预后模型,用于快速临床应用。

IF 5.8 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
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引用次数: 0

摘要

利用人工智能(AI)分析心电图(ECG)不仅有可能改变心脏疾病的诊断和预后评估,而且越来越多地改变非心脏疾病的诊断和预后评估。在这篇综述中,我们总结了过去五年(2019-2023 年)在心血管疾病(CVD)的早期检测、诊断和预后评估方面的临床研究和基于人工智能增强心电图的临床应用。随着深度学习的进步和心电图技术应用的迅速增加,大量临床研究已经发表。然而,这些研究大多是单中心、回顾性、概念验证研究,缺乏外部验证。从开发到临床应用的前瞻性研究占了
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnostic and Prognostic Electrocardiogram-Based Models for Rapid Clinical Applications
Leveraging artificial intelligence (AI) for the analysis of electrocardiograms (ECGs) has the potential to transform diagnosis and estimate the prognosis of not only cardiac but, increasingly, noncardiac conditions. In this review, we summarize clinical studies and AI-enhanced ECG-based clinical applications in the early detection, diagnosis, and estimating prognosis of cardiovascular diseases in the past 5 years (2019-2023). With advancements in deep learning and the rapid increased use of ECG technologies, a large number of clinical studies have been published. However, most of these studies are single-centre, retrospective, proof-of-concept studies that lack external validation. Prospective studies that progress from development toward deployment in clinical settings account for < 15% of the studies. Successful implementations of ECG-based AI applications that have received approval from the Food and Drug Administration have been developed through commercial collaborations, with approximately half of them being for mobile or wearable devices. The field is in its early stages, and overcoming several obstacles is essential, such as prospective validation in multicentre large data sets, addressing technical issues, bias, privacy, data security, model generalizability, and global scalability. This review concludes with a discussion of these challenges and potential solutions. By providing a holistic view of the state of AI in ECG analysis, this review aims to set a foundation for future research directions, emphasizing the need for comprehensive, clinically integrated, and globally deployable AI solutions in cardiovascular disease management.
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来源期刊
Canadian Journal of Cardiology
Canadian Journal of Cardiology 医学-心血管系统
CiteScore
9.20
自引率
8.10%
发文量
546
审稿时长
32 days
期刊介绍: The Canadian Journal of Cardiology (CJC) is the official journal of the Canadian Cardiovascular Society (CCS). The CJC is a vehicle for the international dissemination of new knowledge in cardiology and cardiovascular science, particularly serving as the major venue for Canadian cardiovascular medicine.
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