利用电子健康记录和人工智能提高心血管风险预测:综合性审查
Ming-Lung Tsai1,2,3, Kuan-Fu Chen4,5, Pei-Chun Chen6,7
1Division of Cardiology, Department of Internal Medicine New Taipei Municipal Tucheng Hospital New Taipei Taiwan.
Journal of the American Heart Association
|March 13, 2025
概括
电子健康记录 (EHR) 和人工智能 (AI) 正在改变心血管疾病 (CVD) 风险预测. 数据质量和标准化的挑战仍然存在,但整合多样化的数据源将增强未来的模型.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
背景情况:
- 电子健康记录 (EHR) 提供了对心血管疾病 (CVD) 研究至关重要的大规模动态数据.
- 将EHR数据与包括AI在内的先进分析集成,可以提高心血管疾病风险的预测和管理.
- 传统和基于人工智能的方法正在探索使用EHR数据进行心血管疾病风险建模.
研究的目的:
- 审查使用EHR用于开发心血管疾病预测模型的进展和挑战.
- 检查传统和基于人工智能的CVD风险评估方法.
- 突出EHR和AI在心血管研究中的潜力和局限性.
主要方法:
- 审查关于在心脏病风险预测中使用电子心脏病记录的现有文献.
- 分析传统的统计和人工智能驱动 (深度学习) 建模技术.
- 检查数据质量,标准化和可解释性挑战.
主要成果:
- 电子心脏病记录数据显著改善了心血管疾病风险预测,结合了真实世界的药物和成像数据.
- 人工智能,特别是深度学习,在提高预测性能方面表现有前途.
- 持续存在的挑战包括数据质量,系统间标准化,地理变异性和AI模型的可解释性.
结论:
- 有效的CVD风险预测和管理越来越依赖于EHR和AI的协同使用.
- 解决数据质量,标准化和回顾性分析的局限性对于可靠的风险模型至关重要.
- 未来的模型应该整合多维数据 (环境,生活方式,基因组) 并对多样化的人口进行持续验证.
相关概念视频
Methods of Documentation VII: EMR
821
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
821
Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
Assessment of the Cardiovascular System I: Subjective Data
256
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
256
Errors occurring during blood pressure monitoring
579
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
579
Pulse rhythm
749
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
749


