Can Artificial Intelligence Enhance Syncope Management?: A JACC: Advances Multidisciplinary Collaborative Statement.

Autor:	Statz GM; Division of Cardiovascular Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA., Evans AZ; Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA., Johnston SL; Division of Cardiovascular Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA., Adhaduk M; Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA., Mudireddy AR; The Iowa Initiative for Artificial Intelligence, University of Iowa, Iowa City, Iowa, USA., Sonka M; The Iowa Initiative for Artificial Intelligence, University of Iowa, Iowa City, Iowa, USA., Lee S; Department of Emergency Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA., Barsotti EJ; Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa, USA., Ricci F; Department of Neurosciences, Imaging and Clinical Sciences, Institute for Advanced Biomedical Technologies, University G. d'Annunzio, Chieti, Italy., Dipaola F; Internal Medicine, Syncope Unit, IRCCS Humanitas Research Hospital, Humanitas University, Rozzano, Milan, Italy., Johansson M; Department of Cardiology, Skåne University Hospital, Lund University, Malmo, Sweden., Sheldon RS; Department of Cardiac Sciences, University of Calgary, Calgary, Alberta, Canada., Thiruganasambandamoorthy V; Department of Emergency Medicine, University of Ottawa, Ottawa, Ontario, Canada., Kenny RA; Department of Medical Gerontology, School of Medicine, Trinity College, Dublin, Ireland., Bullis TC; Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA., Pasupula DK; Division of Cardiovascular Disease, Department of Internal Medicine, MercyOne North Iowa Heart Center, Mason City, Iowa, USA., Van Heukelom J; Department of Emergency Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA., Gebska MA; Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA., Olshansky B; Department of Internal Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Jazyk:	angličtina
Zdroj:	JACC. Advances [JACC Adv] 2023 May 10; Vol. 2 (3), pp. 100323. Date of Electronic Publication: 2023 May 10 (Print Publication: 2023).
DOI:	10.1016/j.jacadv.2023.100323
Abstrakt:	Syncope, a form of transient loss of consciousness, remains a complex medical condition for which adverse cardiovascular outcomes, including death, are of major concern but rarely occur. Current risk stratification algorithms have not completely delineated which patients benefit from hospitalization and specific interventions. Patients are often admitted unnecessarily and at high cost. Artificial intelligence (AI) and machine learning may help define the transient loss of consciousness event, diagnose the cause, assess short- and long-term risks, predict recurrence, and determine need for hospitalization and therapeutic intervention; however, several challenges remain, including medicolegal and ethical concerns. This collaborative statement, from a multidisciplinary group of clinicians, investigators, and scientists, focuses on the potential role of AI in syncope management with a goal to inspire creation of AI-derived clinical decision support tools that may improve patient outcomes, streamline diagnostics, and reduce health-care costs. Competing Interests: This research was funded by the Iowa Initiative for Artificial Intelligence (IIAI), Carver College of Medicine Office of Research, University of Iowa. Dr Olshansky is on the Data and Safety Monitoring Board of AstraZeneca. Dr Sonka is an inventor and has patents and patent applications in computer vision and medical image analysis; and is a cofounder of Medical Imaging Applications, LLC, Coralville, Iowa, USA and VIDA Diagnostics, Inc, Coralville, Iowa, USA. Dr Venkatesh Thiruganasambandamoorthy is supported through a Physicians’ Services Incorporated Foundation Mid-Career Clinical Researcher award and University of Ottawa Tier-1 Clinical Research Chair in Cardiovascular Emergencies award. Dr Thiruganasambandamoorthy has received peer-reviewed grant funds for studies from the following governmental or non-profit agencies: the 10.13039/501100000241Physicians’ Services Incorporated Foundation—Ontario, Canada, 10.13039/501100000024Canadian Institutes of Health Research, 10.13039/100004411Heart and Stroke Foundation Canada, and the Cardiac Arrhythmia Network of Canada as part of the Networks of Centres of Excellence (NCE; and is a consultant for the NIH funded Practical Approaches to Care in Emergency Syncope (PACES) study. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose. (© 2023 The Authors.)
Databáze:	MEDLINE
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