Modelos de inteligencia artificial para el diagnóstico de la insuficiencia cardíaca: una revisión sistemática de la literatura
DOI:
https://doi.org/10.37135/ee.04.26.09Palabras clave:
inteligencia artificial, insuficiencia cardíaca, Insuficiencia Cardíaca Diastólica, Insuficiencia Cardíaca SistólicaResumen
La inteligencia artificial (IA) puede contribuir al diagnóstico temprano de insuficiencia cardíaca (IC). Esta revisión sistemática evaluó la precisión diagnóstica de modelos de IA aplicados al ECG y VFC para detectar insuficiencia cardiaca y disfunción ventricular izquierda (LVSD). Se reviso publicaciones entre 2011 y 2023, siguiendo la declaración PRISMA. La certeza de la evidencia y el riesgo de sesgo se evaluaron utilizando las herramientas GRADE y STROBE. Se obtuvieron 2332 resultados, posterior al cribado, se incluyeron 14 estudios. La sensibilidad combinada total fue del 98,30 % y la especificidad del 96,99 %. La inteligencia artificial aplicada al análisis de ECG y VFC ofrece una herramienta diagnóstica precisa y potencialmente útil para el cribado y la detección temprana de la insuficiencia cardíaca. Si bien los resultados fueron alentadores, se requiere mayor validación externa, estandarización metodológica y estudios prospectivos en entornos clínicos reales para garantizar la generalización y fiabilidad de estos algoritmos.
Descargas
Referencias
Khan MS, Arshad MS, Greene SJ, Van Spall HGC, Pandey A, Vemulapalli S, et al. Artificial intelligence and heart failure: A state-of-the-art review. Eur J Heart Fail [Internet]. 2023 [citado 14 Feb 2025];25(9):1507–1525. Disponible en: https://academic.oup.com/eurjhf/article-abstract/25/9/1507/8341908 DOI: https://doi.org/10.1002/ejhf.2994.
Yasmin F, Shah SMI, Naeem A, Shujauddin SM, Jabeen A, Kazmi S, et al. Artificial intelligence in the diagnosis and detection of heart failure: the past, present, and future. Rev Cardiovasc Med [Internet]. 2021 [citado 14 Feb 2025];22(4):1095–1113. Disponible en: https://www.imrpress.com/journal/rcm/22/4/10.31083/j.rcm2204121 DOI: https://doi.org/10.31083/j.rcm2204121.
Lee S, Chu Y, Ryu J, Park YJ, Yang S, Koh SB. Artificial intelligence for detection of cardiovascular-related diseases from wearable devices: a systematic review and meta-analysis. Yonsei Med J [Internet]. 2022 [citado 22 Feb 2025];63(Suppl):S93–S107. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8790582/ DOI: https://doi.org/10.3349/ymj.2022.63.s93.
Sun X, Yin Y, Yang Q, Huo T. Artificial intelligence in cardiovascular diseases: diagnostic and therapeutic perspectives. Eur J Med Res [Internet]. 2023 [citado 22 Feb 2025];28(1):242. Disponible en: https://link.springer.com/article/10.1186/s40001-023-01065-y DOI: https://doi.org/10.1186/s40001-023-01065-y.
Al-Ani MA, Bai C, Hashky A, Parker AM, Vilaro JR, Aranda JM, et al. Artificial intelligence guidance of advanced heart failure therapies: a systematic scoping review. Front Cardiovasc Med [Internet]. 2023 [citado 22 Feb 2025];10:1127716. Disponible en: https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2023.1127716/full DOI: https://doi.org/10.3389/fcvm.2023.1127716.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Rev Esp Cardiol [Internet]. 2021 [citado 24 Feb 2025];74(9):790–799. Disponible en: https://www.sciencedirect.com/science/article/pii/S0300893221002748?via%3Dihub DOI: https://doi.org/10.1016/j.recesp.2021.06.016.
Aguayo-Albasini JL, Flores-Pastor B, Soria-Aledo V. GRADE system: classification of evidence quality and strength of recommendation. Cir Esp [Internet]. 2014 [citado 14 Mar 2025];92(2):82–88. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0009739X13003394 DOI: https://doi.org/10.1016/j.ciresp.2013.08.002.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement. Rev Esp Salud Publica [Internet]. 2008 [citado 14 Mar 2025];82(3):251–259. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC2034723/ DOI: 10.1136/bmj.39335.541782.AD.
Collins GS, Moons KGM, Dhiman P, Riley RD, Beam AL, Van Calster B, et al. TRIPOD+AI statement: updated guidance for reporting clinical prediction models that use regression or machine learning methods. BMJ [Internet]. 2024 [citado 14 Mar 2025];385:e078378. Disponible en: https://www.bmj.com/content/385/bmj-2023-078378.short DOI: https://doi.org/10.1136/bmj-2023-078378.
Pecchia L, Melillo P, Bracale M. Remote health monitoring of heart failure with data mining via CART method on VFC features. IEEE Trans Biomed Eng [Internet]. 2011 [citado 14 Mar 2025];58(3):800–804. Disponible en: https://ieeexplore.ieee.org/abstract/document/5638128 DOI: https://doi.org/10.1109/tbme.2010.2092776.
Chen W, Zheng L, Li K, Wang Q, Liu G, Jiang Q. A novel and effective method for congestive heart failure detection and quantification using dynamic heart rate variability measurement. PLoS One [Internet]. 2016 [citado 14 Abr 2025];11(11):e0165304. Disponible en: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0165304 DOI: https://doi.org/10.1371/journal.pone.0165304.
Acharya UR, Fujita H, Oh SL, Hagiwara Y, Tan JH, Adam M, et al. Deep convolutional neural network for the automated diagnosis of congestive heart failure using ECG signals. Appl Intell [Internet]. 2019 [citado 14 Abr 2025];49(1):16–27. Disponible en: https://link.springer.com/article/10.1007/s10489-018-1179-1 DOI: https://doi.org/10.1007/s10489-018-1179-1.
Acharya UR, Fujita H, Sudarshan VK, Oh SL, Muhammad A, Koh JEW, et al. Application of empirical mode decomposition for automated identification of congestive heart failure using heart rate signals. Neural Comput Appl. 2017 [citado 14 Abr 2025];28(10):3073–3094. Retracted. Disponible en: https://link.springer.com/article/10.1007/s00521-016-2612-1 DOI: https://doi.org/10.1007/s00521-016-2612-1.
Attia IZ, Tseng AS, Benavente ED, Medina-Inojosa JR, Clark TG, Malyutina S, et al. External validation of a deep learning electrocardiogram algorithm to detect ventricular dysfunction. Int J Cardiol [Internet]. 2021 [citado 14 Abr 2025];329:130–135. Disponible en: https://www.sciencedirect.com/science/article/pii/S0167527320343138 DOI: https://doi.org/10.1016/j.ijcard.2020.12.065.
Attia ZI, Kapa S, Lopez-Jimenez F, McKie PM, Ladewig DJ, Satam G, et al. Screening for cardiac contractile dysfunction using an artificial intelligence-enabled electrocardiogram. Nat Med [Internet]. 2019 [citado 14 May 2025];25(1):70–74. Disponible en: https://www.nature.com/articles/s41591-018-0240-2 DOI: https://doi.org/10.1038/s41591-018-0240-2.
Hussain L, Awan IA, Aziz W, Saeed S, Ali A, Zeeshan F, et al. Detecting congestive heart failure by extracting multimodal features and employing machine learning techniques. Biomed Res Int [Internet]. 2020 [citado 14 May 2025];2020:4281243. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1155/2020/4281243 DOI: https://doi.org/10.1155/2020/4281243.
Lih OS, Jahmunah V, San TR, Ciaccio EJ, Yamakawa T, Tanabe M, et al. Comprehensive electrocardiographic diagnosis based on deep learning. Artif Intell Med [Internet]. 2020 [citado 14 May 2025];103:101789. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0933365719309030 DOI: https://doi.org/10.1016/j.artmed.2019.101789.
Adedinsewo D, Carter RE, Attia Z, Johnson P, Kashou AH, Dugan JL, et al. Artificial intelligence-enabled ECG algorithm to identify patients with left ventricular systolic dysfunction presenting to the emergency department with dyspnea. Circ Arrhythm Electrophysiol [Internet]. 2020 [citado 14 May 2025];13(8):e008437. Disponible en: https://www.ahajournals.org/doi/full/10.1161/CIRCEP.120.008437 DOI: https://doi.org/10.1161/circep.120.008437.
Yang W, Si Y, Zhang G, Wang D, Sun M, Fan W, et al. A novel method for automated congestive heart failure and coronary artery disease recognition using THC-Net. Inf Sci [Internet]. 2021 [citado 22 May 2025];568:427–447. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0020025521003637 DOI: https://doi.org/10.1016/j.ins.2021.04.036.
Harmon DM, Carter RE, Cohen-Shelly M, Svatikova A, Adedinsewo DA, Noseworthy PA, et al. Real-world performance, long-term efficacy, and absence of bias in the artificial intelligence-enhanced electrocardiogram to detect left ventricular systolic dysfunction. Eur Heart J Digit Health [Internet]. 2022 [citado 22 May 2025];3(2):238–244. Disponible en: https://academic.oup.com/ehjdh/article/3/2/238/6586624?guestAccessKey= DOI: https://doi.org/10.1093/ehjdh/ztac028.
Bachtiger P, Petri CF, Scott FE, Park SR, Kelshiker MA, Sahemey HK, et al. Point-of-care screening for heart failure with reduced ejection fraction using artificial intelligence during ECG-enabled stethoscope examination. Lancet Digit Health [Internet]. 2022 [citado 24 May 2025];4(2):e117–e125. Disponible en: https://www.thelancet.com/journals/landig/article/PIIS2589-7500(21)00256-9/fulltext DOI: https://doi.org/10.1016/s2589-7500(21)00256-9.
Attia ZI, Dugan J, Rideout A, Maidens JN, Venkatraman S, Guo L, et al. Automated detection of low ejection fraction from a one-lead electrocardiogram using an AI algorithm applied to a digital stethoscope. Eur Heart J Digit Health [Internet]. 2022 [citado 24 May 2025];3(3):373–379. Disponible en: https://academic.oup.com/ehjdh/article/3/3/373/6590492?guestAccessKey= DOI: https://doi.org/10.1093/ehjdh/ztac030.
Surendra K, Nürnberg S, Bremer JP, Knorr MS, Ückert F, Wenzel JP, et al. Pragmatic screening for heart failure in the general population using an electrocardiogram-based neural network. ESC Heart Fail [Internet]. 2023 [citado 26 May 2025];10(2):975–984. Disponible en: https://academic.oup.com/esICC/article/10/2/975/8304932?guestAccessKey= DOI: https://doi.org/10.1002/ehf2.14263.
Loncaric F, Camara O, Piella G, Bijnens B. Integration of artificial intelligence into clinical patient management: focus on cardiac imaging. Rev Esp Cardiol (Engl Ed) [Internet]. 2021 [citado 30 May 2025];74(1):72–80. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1885585720303145 DOI: https://doi.org/10.1016/j.rec.2020.07.003.
Zargarzadeh A, Javanshir E, Ghaffari A, Mosharkesh E, Anari B. Artificial intelligence in cardiovascular medicine: an updated review of the literature. J Cardiovasc Thorac Res [Internet]. 2023 [citado 30 May 2025];15(4):204–209. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC10862032/ DOI: https://doi.org/10.34172/jcvtr.2023.33031.
Bourazana A, Xanthopoulos A, Briasoulis A, Magouliotis D, Spiliopoulos K, Athanasiou T, et al. Artificial intelligence in heart failure: friend or foe? Life [Internet]. 2024 [citado 30 May 2025];14(1):145. Disponible en: https://www.mdpi.com/2075-1729/14/1/145 DOI: https://doi.org/10.3390/life14010145.
Publicado
Número
Sección
Licencia
Derechos de autor 2026 Revista Eugenio Espejo

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.













