CVD (соның ішінде IHD) тозуға болатын PPG-ден алынған HRV-ден алынған болжам
DOI:
https://doi.org/10.26577/jpcsit202542Ключові слова:
CVD, ИЖА, ЖСЖВ, машиналық оқыту, ФПГ, киілетін сенсорАнотація
Жүрек-қантамыр аурулары дүние жүзінде өлімнің басты себебі болып табылады; Жүректің ишемиялық ауруы (ЖИА) оның ең таралған және өлімге әкелетін түрі болып табылады, масштабталатын, инвазивті емес скринингті ынталандырады. Біз «Жүрек» саусақ ұшының 60 минуттық фотоплетизмографиясы (PPG) жазбасы сау вегетативтік бақылауды IHD-мен байланысты реттелуден ажырата алатынын тексердік. Үш жетекші Холтер анықтамасымен келісім клиникалық тұрғыдан қолайлы болды (HR −0,601 б/мин; SDNN +33,1 мс; RMSSD −4,8 мс). Қырық сағаттық сеанстар (20 сау, 18-22 жас; 20 ангиографиямен расталған IHD) сегіз HRV/демографиялық ерекшеліктерді пайдалана отырып талданды. Mann-Whitney сынақтары SDNN, LF, HF, Max_HR, BMI және жас (p<0,05) және екі компонентті PCA (49,5% дисперсия) белгілері жоқ бөлінген когорттар үшін айтарлықтай айырмашылықтарды көрсетті. CatBoost моделіне арналған SHAP ең күшті оң үлес қосушылар ретінде LF мен жасты, ал қорғаныш ретінде ЖЖ-ны ерекшелеген. Осылайша, бір сағаттық PPG диагностикалық тұрғыдан пайдалы вегетативті қолтаңбаларды сақтайды, бұл Холтерге қарағанда ~24 × қысқа бақылауға мүмкіндік береді және масштабталатын амбулаторлық IHD тәуекел стратификациясын қолдайды.
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