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Artificial neural network based model for cardiovascular risk stratification in hypertension
Gangmin Ning1, Jie Su, Yingqi Li
1Department of Biomedical Engineering, Zhejiang University (Yuquan Campus), Zheda Road 38, 310027, Hangzhou, China. gmning@zju.edu.cn
Insights
This study developed an objective artificial neural network model for cardiovascular risk stratification in hypertension. The model achieved 81.61% accuracy, improving upon subjective clinical assessments for better hypertension treatment strategies.
Area of Science:
- Cardiology
- Artificial Intelligence
- Medical Informatics
Background:
- Cardiovascular risk stratification is essential for hypertension management.
- Current clinical methods suffer from low accuracy due to subjective physician input and patient statement uncertainty.
- Objective risk assessment is needed to guide hypertension treatment strategies.
Purpose of the Study:
- To develop an objective, artificial neural network (ANN)-based model for cardiovascular risk stratification in hypertension.
- To overcome the limitations of subjective clinical experience and patient data uncertainty.
- To improve the accuracy of cardiovascular risk evaluation in hypertensive patients.
Main Methods:
- An artificial neural network model utilizing a backpropagation algorithm was developed.
- Clinical investigation data served as the input for the model.
- The model's target output was cardiovascular risk stratification, learned from hypertension treatment guidelines.
Main Results:
- The ANN model demonstrated consistent stratification results with standard hypertension guidelines in 81.61% of cases.
- The study included 348 normotensive and hypertensive subjects.
- The model proved accurate in evaluating cardiovascular risk for hypertension.
Conclusions:
- The developed ANN model provides an objective and accurate method for cardiovascular risk stratification in hypertension.
- This objective approach can enhance the decision-making process for hypertension treatment.
- The model shows significant potential for improving risk evaluation in clinical practice.
Abstract:
This study was to develop an objective method to stratify cardiovascular risk in hypertension. Stratification for cardiovascular risk is crucial in deciding treatment strategy for hypertension but has yielded undesirable results in clinic due to its low accuracy which is caused by physicians' subjective experience and the uncertainty of patients' statements. Our model proposed herein overcomes these disadvantages by applying artificial neural network based on a classic back propagation net. The model input is derived from the clinical investigation. The target output is the stratification level of total cardiovascular risk, which is learned from the guidelines of hypertension treatment. Study in 348 normotensive and hypertensive subjects showed that the results of model stratification are consistent with the standard stratification suggested by hypertension guidelines in 81.61% cases. The results confirm the accuracy of the model and demonstrate its ability in risk evaluation for hypertension.
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