Role of Artificial Intelligence and Machine Learning to Create Predictors, Enhance Molecular Understanding, and Implement Purposeful Programs for Myocardial Recovery.

Journal: Methodist DeBakey cardiovascular journal
PMID:

Abstract

Heart failure (HF) affects millions of individuals and causes hundreds of thousands of deaths each year in the United States. Despite the public health burden, medical and device therapies for HF significantly improve clinical outcomes and, in a subset of patients, can cause reversal of abnormalities in cardiac structure and function, termed "myocardial recovery." By identifying novel patterns in high-dimensional data, artificial intelligence (AI) and machine learning (ML) algorithms can enhance the identification of key predictors and molecular drivers of myocardial recovery. Emerging research in the area has begun to demonstrate exciting results that could advance the standard of care. Although major obstacles remain to translate this technology to clinical practice, AI and ML hold the potential to usher in a new era of purposeful myocardial recovery programs based on precision medicine. In this review, we discuss applications of ML to the prediction of myocardial recovery, potential roles of ML in elucidating the mechanistic basis underlying recovery, barriers to the implementation of ML in clinical practice, and areas for future research.

Authors

  • Frederick M Lang
    NewYork-Presbyterian/Columbia University Irving Medical Center, New York, New York, US.
  • Benjamin C Lee
    Dalio Institute of Cardiovascular Imaging, Weill Cornell Medicine, New York, New York.
  • Dor Lotan
    NewYork-Presbyterian/Columbia University Irving Medical Center, New York, New York, US.
  • Mert R Sabuncu
    Department of Radiology, Weill Cornell Medicine, New York, NY, USA.
  • Veli K Topkara
    Division of Cardiology, Department of Medicine, Columbia University Irving Medical Center, New York, NY.