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开发和验证一种快速视觉技术,用于从心电图中检测左心室缩

Sulaiman Somani^1,2, J Weston Hughes^3,4, Euan A Ashley³

¹Division of Internal Medicine, Department of Medicine, Stanford University, Stanford, CA, United States.

Frontiers in cardiovascular medicine

|September 15, 2023

概括

一种新的心电图 (ECG) 技术,Witteles-Somani (WS),提供了一种快速检测左心室缩 (LVH) 的方法. 这种方法表现出与现有方法相比较的性能,并且与心血管风险增加有关.

科学领域:

心脏病学心脏病学
医学诊断医学诊断医学诊断
电心电图是指心电图.

背景情况:

电心电图 (ECG) 技术用于检测左心室缩 (LVH) 通常是复杂的,并产生适度的准确性.
需要更简单,更有效的方法来使用ECG识别LVH.

研究的目的:

为了验证一种新的,快速的视觉技术 (Witteles-Somani,WS) 用于LVH检测.
将WS技术的性能与已建立的基于ECG的LVH检测方法进行比较.
评估WS技术检测到的LVH与发生心血管结果之间的关联.

主要方法:

这是一项回顾性队列研究,涉及来自18873名患者的53,333对ECG-TTE (2006-2018).
采用Witteles-Somani (WS) 技术,评估S波和R波在心前导线上的重叠,并通过算法实现.
使用分类指标,接收器-运营商曲线和皮尔森相关性来评估性能. 考克斯的比例危险模型评估了心血管结果的关联.

主要成果:

这种WS技术的AUROC值为0.56,相当于Sokolow-Lyon (0.55),Cornell (0.63) 和Peguero-Lo Presti (0.63) 的AUROC值.
通过WS技术确定患有LVH的患者表现出显著更高的心血管死亡,心肌梗塞,心力衰竭和整体心血管疾病的风险.
该WS技术的灵敏度为0.46和特异性为0.66.

结论:

维特勒斯-索马尼 (WS) 标准提供了一个快速的视觉方法来检测LVH.
WS技术的性能与其他已建立的基于ECG的方法相提并论.
通过WS技术识别的LVH与不良心血管结果有显著的关联,突出其临床相关性.

关键词:

这是一个ECGECGECGECGECG.在 LVH 里面,你会看到 LVH.检测 LVH 的检测这里是回声回声的回声回声.左心室缩症是指左心室缩症.

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