Heart failure & cardiomyopathies

Machine learning-based detection of sleep-disordered breathing in hypertrophic cardiomyopathy

HeartPublished Diagnostic accuracy study

Performance · High ODI (3% ODI >10) in the test setResult — go to the resultOdds ratio 20.9 95% CI 5.3–105.8

Authors' conclusion

Our study serves as the first to develop a machine learning-based discriminant model for the concomitance of SDB in patients with HCM.

Study context

Population
Consecutive patients with hypertrophic cardiomyopathy undergoing nocturnal oximetry
Participants
369 patients
Comparison
Random forest discriminant model vs previous logistic regression model
Outcome
High ODI (3% ODI >10), correlating with moderate or severe SDB
Methodological detailsmulticentre, machine learning (random forest), training set (80%) and test set (20%)
  • Multicentre
  • Machine learning (random forest)
  • Training set (80%) and test set (20%)

Performance

High ODI (3% ODI >10) in the test set

Odds ratio

20.9

95% CI 5.3–105.8

P < 0.001

By group

High-probabilityvs Low-probability
OR 20.9 (95% CI 5.3–105.8); P < 0.001

As reported in the abstract

Original publication

Machine learning-based detection of sleep-disordered breathing in hypertrophic cardiomyopathy. Heart. Published 8 April 2024. doi:10.1136/heartjnl-2023-323856

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