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WFRF:(Rastgoo S.)
 

Sökning: WFRF:(Rastgoo S.) > Multiomics, virtual...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003128naa a2200445 4500
001oai:prod.swepub.kib.ki.se:234008412
003SwePub
008240701s2021 | |||||||||||000 ||eng|
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:2340084122 URI
024a https://doi.org/10.2217/fca-2020-02252 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Gladding, PA4 aut
2451 0a Multiomics, virtual reality and artificial intelligence in heart failure
264 1b Future Medicine Ltd,c 2021
520 a Aim: Multiomics delivers more biological insight than targeted investigations. We applied multiomics to patients with heart failure (HF) and reduced ejection fraction (HFrEF), with machine learning applied to advanced ECG (AECG) and echocardiography artificial intelligence (Echo AI). Patients & methods: In total, 46 patients with HFrEF and 20 controls underwent metabolomic profiling, including liquid/gas chromatography–mass spectrometry and solid-phase microextraction volatilomics in plasma and urine. HFrEF was defined using left ventricular (LV) global longitudinal strain, EF and N-terminal pro hormone BNP. AECG and Echo AI were performed over 5 min, with a subset of patients undergoing a virtual reality mental stress test. Results: A-ECG had similar diagnostic accuracy as N-terminal pro hormone BNP for HFrEF (area under the curve = 0.95, 95% CI: 0.85–0.99), and correlated with global longitudinal strain (r = -0.77, p < 0.0001), while Echo AI-generated measurements correlated well with manually measured LV end diastolic volume r = 0.77, LV end systolic volume r = 0.8, LVEF r = 0.71, indexed left atrium volume r = 0.71 and indexed LV mass r = 0.6, p < 0.005. AI-LVEF and other HFrEF biomarkers had a similar discrimination for HFrEF (area under the curve AI-LVEF = 0.88; 95% CI: -0.03 to 0.15; p = 0.19). Virtual reality mental stress test elicited arrhythmic biomarkers on AECG and indicated blunted autonomic responsiveness (alpha 2 of RR interval variability, p = 1 × 10-4) in HFrEF. Conclusion: Multiomics-related machine learning shows promise for the assessment of HF.
700a Loader, S4 aut
700a Smith, K4 aut
700a Zarate, E4 aut
700a Green, S4 aut
700a Villas-Boas, S4 aut
700a Shepherd, P4 aut
700a Kakadiya, P4 aut
700a Hewitt, W4 aut
700a Thorstensen, E4 aut
700a Keven, C4 aut
700a Coe, M4 aut
700a Nakisa, B4 aut
700a Vuong, T4 aut
700a Rastgoo, MN4 aut
700a Jüllig, M4 aut
700a Starc, V4 aut
700a Schlegel, TTu Karolinska Institutet4 aut
710a Karolinska Institutet4 org
773t Future cardiologyd : Future Medicine Ltdg 17:8, s. 1335-1347q 17:8<1335-1347x 1744-8298x 1479-6678
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:234008412
8564 8u https://doi.org/10.2217/fca-2020-0225

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