ПРОГНОЗИРОВАНИЕ ССЗ (ВКЛЮЧАЯ ИБС) НА ОСНОВЕ ВАРИКАЛЬНОГО РИТМА СКОРОСТИ, ПОЛУЧЕННОГО С ПОМОЩИ НОСИМОГО ФПГ
DOI:
https://doi.org/10.26577/jpcsit202542Ключевые слова:
ССЗ, ИБС, ВСР, Машинное обучение, ФПГ, носимый датчикАннотация
Сердечно-сосудистые заболевания являются основной причиной смерти в мире; ишемическая болезнь сердца (ИБС) – её наиболее распространённая и летальная форма, что обусловливает необходимость масштабируемого неинвазивного скрининга. Мы проверили, может ли однократная 60-минутная запись фотоплетизмографии (ФПГ) с помощью напальчникового устройства Zhurek отличить здоровый вегетативный контроль от нарушения регуляции, связанного с ИБС. Соответствие трёхканальному холтеровскому мониторированию было клинически приемлемым (ЧСС −0,601 уд./мин; SDNN +33,1 мс; RMSSD −4,8 мс). Были проанализированы сорокачасовые сеансы (20 здоровых людей в возрасте от 18 до 22 лет; 20 пациентов с ИБС, подтверждённой ангиографией) с использованием восьми показателей вариабельности сердечного ритма/демографических характеристик. Тесты Манна–Уитни выявили значимые различия для SDNN, LF, HF, Max_HR, ИМТ и возраста (p < 0,05), а двухкомпонентный PCA (дисперсия 49,5%) разделил когорты без меток. SHAP для модели CatBoost выявил LF и возраст как наиболее значимые положительные факторы, а HF – как защитный. Таким образом, часовая ППГ сохраняет диагностически значимые автономные сигнатуры, позволяя примерно в 24 раза сократить время мониторинга по сравнению с холтеровским мониторированием и поддерживая масштабируемую амбулаторную стратификацию риска ИБС.
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