Artificial intelligence in cardiovascular pharmacotherapy: applications and perspectives.

Journal: European heart journal
Published Date:

Abstract

Recent advances in artificial intelligence (AI) have shown great potential in improving cardiovascular pharmacotherapy by optimizing drug selection, predicting therapeutic efficacy and adverse effects, ultimately improving patient outcomes. Leveraging techniques like machine learning and in silico modelling, AI can identify populations likely to benefit from specific treatments, expedite novel drug discovery and reduce costs. Computational methods can also facilitate the detection of drug interactions and tailor interventions based on real-world data, supporting personalized care. Artificial intelligence-based approaches also show promise in streamlining clinical trial design and execution, leveraging on real-time data on patient responsiveness, enhancing recruitment efficiency. However, in order to fully realize these benefits, robust validation across diverse patient populations is necessary to ensure accuracy and generalizability. In addition, addressing concerns regarding data quality, privacy, and bias is equally critical to avoid exacerbating existing healthcare disparities. Scientific societies and regulatory agencies must ultimately establish standardized frameworks for data management, model certification, and transparency, to enable safe and effective integration of AI into clinical practice. This manuscript aims at systematically reviewing the current state-of-the-art applications of AI in cardiovascular pharmacotherapy, describing their current potential in guiding treatment decisions, refine trial methodologies and support drug discovery.

Authors

  • Francesco Costa
    Department of Neurosurgery, Humanitas Research Hospital, Rozzano, Italy.
  • Juan Jose Gomez Doblas
    Cardiology Department, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga 29010, Spain.
  • Arancha Díaz Expósito
    Cardiology Department, University Hospital Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga 29010, Spain.
  • Marianna Adamo
    Institute of Cardiology, ASST Spedali Civili di Brescia, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
  • Fabrizio D'Ascenzo
    Division of Cardiology, Cardiovascular and Thoracic Department, Città della Salute e della Scienza, Turin, Italy; Cardiology, Department of Medical Sciences, University of Turin, Turin, Italy. Electronic address: fabrizio.dascenzo@gmail.com.
  • Łukasz Kołtowski
    1st Department of Cardiology, Medical University of Warsaw, Stefana Banacha St. 1a, 02-097, Warsaw, Poland.
  • Luca Saba
    Department of Radiology, A.O.U., Italy.
  • Guiomar Mendieta
    Department of Cardiology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
  • Felice Gragnano
    Department of Translational Medical Sciences, University of Campania 'Luigi Vanvitelli', Caserta 81100, Italy.
  • Paolo Calabrò
    Department of Translational Medical Sciences, University of Campania 'Luigi Vanvitelli', Caserta.
  • Lina Badimon
    Cardiovascular Science Program-ICCC, IR-Hospital de la Santa Creu i Santa Pau, Ciber CV, Autonomous University of Barcelona, Barcelona, Spain.
  • Borja Ibáñez
    Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain; CIBER de enfermedades CardioVasculares (CIBERCV), Spain; IIS-Fundación Jiménez Díaz Hospital, Madrid, Spain.
  • Roxana Mehran
    Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
  • Dominick J Angiolillo
    Division of Cardiology, University of Florida College of Medicine, Jacksonville, FL, USA.
  • Thomas Lüscher
    Royal Brompton and Harefield Hospitals, part of Guy's and St Thomas' NHS Foundation Trust.
  • Davide Capodanno

Keywords

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