Artificial Intelligence in Predicting Sudden Cardiac Death.

Journal: Cardiology in review
Published Date:

Abstract

Sudden cardiac death (SCD) remains a significant global health challenge, with existing risk stratification tools such as left ventricular ejection fraction demonstrating limited predictive accuracy. Recent advancements in artificial intelligence (AI) have enabled the development of novel predictive models capable of integrating high-dimensional clinical, electrocardiographic, imaging, genetic, and wearable device data. This review examines the performance of various AI architectures-particularly convolutional neural networks and multimodal ensemble models-in improving SCD prediction and risk stratification. Evidence suggests that AI algorithms trained on sinus rhythm electrocardiograms can detect subclinical features associated with future arrhythmias, while the integration of additional data modalities further enhances predictive precision. Importantly, dynamic AI models that incorporate continuous data inputs have demonstrated potential in both long-term risk assessment and real-time arrhythmia detection. Despite these promising developments, widespread clinical adoption faces challenges related to validation, interpretability, and integration into existing healthcare systems. Addressing these issues through multidisciplinary collaboration and rigorous evaluation will be crucial for realizing the clinical utility of AI in SCD prevention.

Authors

  • Hadrian Hoang-Vu Tran
    From the Department of Internal Medicine, Hackensack University Medical Center-Palisades Medical Center, North Bergen, NJ.
  • Audrey Thu
    Department of Medicine, Touro College of Osteopathic Medicine, New York, NY.
  • Anu Radha Twayana
    Department of Internal Medicine, Texas Tech University Health Sciences Center at Permian Basin, Odessa, TX.
  • Axel Fuertes
    From the Department of Internal Medicine, Hackensack University Medical Center-Palisades Medical Center, North Bergen, NJ.
  • Marco Gonzalez
    Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
  • Maggie James
    From the Department of Internal Medicine, Hackensack University Medical Center-Palisades Medical Center, North Bergen, NJ.
  • Marina Basta
    From the Department of Internal Medicine, Hackensack University Medical Center-Palisades Medical Center, North Bergen, NJ.
  • Krutagni Adwait Mehta
    From the Department of Internal Medicine, Hackensack University Medical Center-Palisades Medical Center, North Bergen, NJ.
  • William H Frishman
    Department of Cardiology, Westchester Medical Center and New York Medical College, Valhalla, NY.
  • Wilbert S Aronow
    Department of Cardiology, Westchester Medical Center and New York Medical College, Valhalla, NY.

Keywords

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