32 건의 Publication
Left ventricular systolic dysfunction, Obstetrics
An artificial intelligence electrocardiogram analysis for detecting cardiomyopathy in the peripartum period
Peripartum cardiomyopathy (PPCM) is a fatal maternal complication, with left ventricular systolic dysfunction (LVSD; Left ventricular ejection fraction 45% or less) occurring at the end of pregnancy or in the months following delivery. The scarcity of screening tools for PPCM leads to a delayed diagnosis and increases its mortality and morbidity. We aim to evaluate an electrocardiogram (ECG)-deep learning model (DLM) for detecting cardiomyopathy in the peripartum period. For the DLM development and internal performance test for detecting LVSD, we obtained a dataset of 122,733 ECG-echocardiography pairs from 58,530 male and female patients from two community hospitals. For the DLM external validation, this study included 271 ECG-echocardiography pairs (157 unique pregnant and postpartum period women) examined in the Ajou University Medical Center (AUMC) between January 2007 and May 2020. All included cases underwent an ECG within two weeks before or after the day of transthoracic echocardiography, which was performed within a month before delivery, or within five months after delivery. Based on the diagnostic criteria of PPCM, we analyzed the area under the receiver operating characteristic curve (AUROC), sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) to evaluate the model effectiveness. The ECG-based DLM detected PPCM with an AUROC of 0.877. Moreover, its sensitivity, specificity, PPV, and NPV for the detection of PPCM were 0.877, 0.833, 0.809, 0.352, and 0.975, respectively. An ECG-based DLM non-invasively and effectively detects cardiomyopathies occurring in the peripartum period and could be an ideal screening tool for PPCM.
International Journal of Cardiology
February 02, 2022
Data augmentation
Efficient Data Augmentation Policy for Electrocardiograms
We present the taxonomy of data augmentation for electrocardiogram (ECG) after reviewing various ECG augmentation methods. On the basis of the taxonomy, we demonstrate the effect of augmentation methods on the ECG classification via extensive experiments. Initially, we examine the performance trend as the magnitude of distortion increases and identify the optimal distortion magnitude. Secondly, we investigate the synergistic combinations of the transformations and identify the pairs of transformations with the greatest positive effect. Finally, based on our experimental findings, we propose an efficient augmentation policy and demonstrate that it outperforms previous augmentation policies.
Conference on Information and Knowledge Management (CIKM)
October 17, 2022