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BMC Med Inform Decis Mak ; 24(1): 17, 2024 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-38225576

RESUMEN

BACKGROUND: Heart failure is a syndrome with complex clinical manifestations. Due to increasing population aging, heart failure has become a major medical problem worldwide. In this study, we used the MIMIC-III public database to extract the temporal and spatial characteristics of electrocardiogram (ECG) signals from patients with heart failure. METHODS: We developed a NYHA functional classification model for heart failure based on a deep learning method. We introduced an integrating attention mechanism based on the CNN-LSTM-SE model, segmenting the ECG signal into 2 to 20 s long segments. Ablation experiments showed that the 12 s ECG signal segments could be used with the proposed deep learning model for superior classification of heart failure. RESULTS: The accuracy, positive predictive value, sensitivity, and specificity of the NYHA functional classification method were 99.09, 98.9855, 99.033, and 99.649%, respectively. CONCLUSIONS: The comprehensive performance of this model exceeds similar methods and can be used to assist in clinical medical diagnoses.


Asunto(s)
Aprendizaje Profundo , Insuficiencia Cardíaca , Humanos , Arritmias Cardíacas/diagnóstico , Electrocardiografía/métodos , Insuficiencia Cardíaca/diagnóstico , Bases de Datos Factuales , Algoritmos
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