- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving 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.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Studietype
Registrering (Antatt)
Kontakter og plasseringer
Studiekontakt
- Navn: Yongsoo Baek, MD, PhD
- Telefonnummer: +82-32-890-2200
- E-post: existsoo@inha.ac.kr
Studiesteder
-
-
Incheon
-
Incheon, Incheon, Sør -Korea, 22332
- Rekruttering
- Inha University Hospital
-
Ta kontakt med:
- Yongsoo Baek, MD, PhD
- Telefonnummer: +82-32-890-2200
- E-post: existsoo@inha.ac.kr
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Prøvetakingsmetode
Studiepopulasjon
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 studiet utformet?
Designdetaljer
- Observasjonsmodeller: COHORT
- Tidsperspektiver: RETROSPECTIVE
Kohorter og intervensjoner
Gruppe / Kohort |
Intervensjon / 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]. |
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
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 |
Tiltaksbeskrivelse |
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
|
Samarbeidspartnere og etterforskere
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Sykdom i hjertets ledningssystem
- Kardiovaskulære sykdommer
- Patologiske prosesser
- Hjertesykdommer
- Arytmier, hjerte
- Medfødte abnormiteter
- Kardiovaskulære abnormiteter
- Hjertefeil, medfødt
- Hjertekomplekser, for tidlig
- Pre-eksitasjonssyndromer
- Medfødte, arvelige og neonatale sykdommer og abnormiteter
- Patologiske tilstander, tegn og symptomer
- Takykardi
- Takykardi, Ventrikulær
- Ventrikulære premature komplekser
- Wolff-Parkinson-White syndrom
Andre studie-ID-numre
- 2023-12-033
- 2023-12-033 (Registeridentifikator: Inha University Hospital Institutional Review Board)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (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.
Legemiddel- og utstyrsinformasjon, studiedokumenter
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