Heart failure & cardiomyopathies

Deep learning model for identifying acute heart failure patients using electrocardiography in the emergency room

Eur Heart J Acute Cardiovasc CarePublished retrospective cohort study

Authors' conclusion

The developed machine learning model significantly enhanced AHF detection in the ER using conventional 12-lead ECGs combined with clinical data. These findings suggest that ECGs, a common tool in the ER, can effectively help screen for AHF.

Study context

Population
Patients who visited emergency room (ERs), with available left ventricular ejection fraction and N-terminal prohormone of brain natriuretic peptide level dataincluded, of 19,285 patients whose electrocardiogram (ECG) data were analysed
Participants
9,119 patients
Index test or model
Machine learning models using morphological and clinical parameters extracted from ECG data for acute heart failure (AHF) identification in the ER
Target condition
Acute heart failure (AHF)
Methodological detailsthree hospitals
  • Three hospitals

Performance

As reported in the abstract

Test or modelArea under the receiver operating characteristicArea under the precision-recall curve
CatBoost, internal validation0.89 ± 0.010.89 ± 0.01
CatBoost, external validation0.900.89

Area under the receiver operating characteristic

CatBoost, internal validation0.89 ± 0.01
CatBoost, external validation0.90

Area under the precision-recall curve

CatBoost, internal validation0.89 ± 0.01
CatBoost, external validation0.89

Further findings

The model demonstrated high accuracy, precision, recall, and f1 score

Original publication

Deep learning model for identifying acute heart failure patients using electrocardiography in the emergency room. Eur Heart J Acute Cardiovasc Care. Published 9 January 2025. doi:10.1093/ehjacc/zuaf001

Composed by AI from the published abstract and checked against it. How Briefs are made →

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