- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07859020
AI-Based Differential Diagnosis and Localization of Tachycardia Using ECG: Multicenter Registry (EP-AI ASSIST) (EP-AI ASSIST)
AI-based Differential Diagnosis and Localization of Tachycardia Using ECG: Multicenter Registry (EP-AI ASSIST)
This multicenter retrospective study aims to develop, validate, and clinically apply an artificial intelligence (AI)-powered electrocardiography (ECG) algorithm for the diagnosis and prognostic prediction of cardiovascular diseases, including coronary artery disease and heart failure. By utilizing encrypted raw 12-lead ECG text data and deep neural network models, the study evaluates the effectiveness of AI-enhanced ECG in detecting cardiac abnormalities and predicting clinical outcomes.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Kontakter og lokationer
Studiekontakt
- Navn: Yongsoo Baek, MD, PhD
- Telefonnummer: +82-32-890-2200
- E-mail: existsoo@inha.ac.kr
Studiesteder
-
-
Incheon
-
Incheon, Incheon, Sydkorea, 22332
- Rekruttering
- Inha University Hospital
-
Kontakt:
- Yongsoo Baek, MD, PhD
- Telefonnummer: +82-32-890-2200
- E-mail: existsoo@inha.ac.kr
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Retrospective cohort of patients aged 19 years or older with PSVT, WPW syndrome, PVC, or VT who underwent electrophysiological study and catheter ablation at participating institutions between January 2005 and December 2023.
Beskrivelse
Inclusion Criteria:
- Age 19 years or older
- Diagnosis of one of the following arrhythmias: paroxysmal supraventricular tachycardia (PSVT), Wolff-Parkinson-White (WPW) syndrome, premature ventricular contractions (PVC), or ventricular tachycardia (VT)
- Underwent an electrophysiological study (EPS) and catheter ablation
- Available 12-lead electrocardiogram (ECG) records that can be extracted as text (XML) files
Exclusion Criteria:
- Inadequate ECG data quality, as judged by the investigator
- Missing medical records required for the study, as judged by the investigator
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: COHORT
- Tidsperspektiver: RETROSPECTIVE
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
|---|---|
|
Cardiovascular Disease and Tachycardia Cohort
Patients aged 19 years or older diagnosed with tachycardias (including PSVT, WPW syndrome, PVC, or VT) who underwent an electrophysiological study (EPS) and radiofrequency catheter ablation (RFCA), with extractable 12-lead ECG text data[cite: 1]. |
Application of a deep learning-based 12-lead electrocardiogram (ECG) algorithm to analyze raw text data for the differential diagnosis and localization of tachycardias, including PSVT, WPW syndrome, PVC, and VT[cite: 1]. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Area Under the ROC Curve (AUC) of AI-ECG Models for Differentiating Tachycardia Mechanisms Confirmed by Electrophysiological Study
Tidsramme: Baseline
|
Diagnostic performance of Transformer-based deep learning models applied to 12-lead ECG raw data for differentiating tachycardia mechanisms, including atrioventricular nodal reentrant tachycardia (AVNRT) versus atrioventricular reentrant tachycardia (AVRT). The reference standard is the diagnosis confirmed by electrophysiological study and catheter ablation. Performance is summarized as AUC with 95% confidence interval (range 0-1; higher values indicate better discrimination). |
Baseline
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Area Under the ROC Curve (AUC) of AI-ECG Models for Localizing Arrhythmia Origin Sites (Accessory Pathway, PVC, and VT) Confirmed by Successful Catheter Ablation
Tidsramme: Baseline
|
Performance of AI-ECG models in classifying the anatomical site of the arrhythmia substrate from the pre-ablation 12-lead ECG, including (1) accessory pathway location in Wolff-Parkinson-White syndrome, (2) the origin of premature ventricular contractions, and (3) the origin of ventricular tachycardia. The reference standard is the site identified by electrophysiological mapping and confirmed by successful catheter ablation. For each classification task, performance is reported as AUC with 95% confidence interval (range 0-1; higher values indicate better classification). |
Baseline
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdom i hjertets ledningssystem
- Hjerte-kar-sygdomme
- Patologiske processer
- Hjertesygdomme
- Arytmier, hjerte
- Medfødte abnormiteter
- Kardiovaskulære abnormiteter
- Hjertefejl, medfødt
- Hjertekomplekser, for tidligt
- Pre-excitationssyndromer
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Patologiske tilstande, tegn og symptomer
- Takykardi
- Takykardi, Ventrikulær
- Ventrikulære præmature komplekser
- Wolff-Parkinson-White syndrom
Andre undersøgelses-id-numre
- 2023-12-033
- 2023-12-033 (Registry Identifier: Inha University Hospital Institutional Review Board)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Individual participant data (IPD) will not be shared with other researchers due to institutional data privacy policies and ethical regulations concerning retrospective clinical records and encrypted electrocardiogram data.
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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