Artificial Intelligence in Hypertension Management: An Ace up Your Sleeve.

artificial intelligence big data blood pressure deep learning deep neural networks digital health hypertension machine learning photoplethysmograph wearable technology

Journal

Journal of cardiovascular development and disease
ISSN: 2308-3425
Titre abrégé: J Cardiovasc Dev Dis
Pays: Switzerland
ID NLM: 101651414

Informations de publication

Date de publication:
09 Feb 2023
Historique:
received: 27 12 2022
revised: 05 02 2023
accepted: 07 02 2023
entrez: 24 2 2023
pubmed: 25 2 2023
medline: 25 2 2023
Statut: epublish

Résumé

Arterial hypertension (AH) is a progressive issue that grows in importance with the increased average age of the world population. The potential role of artificial intelligence (AI) in its prevention and treatment is firmly recognized. Indeed, AI application allows personalized medicine and tailored treatment for each patient. Specifically, this article reviews the benefits of AI in AH management, pointing out diagnostic and therapeutic improvements without ignoring the limitations of this innovative scientific approach. Consequently, we conducted a detailed search on AI applications in AH: the articles (quantitative and qualitative) reviewed in this paper were obtained by searching journal databases such as PubMed and subject-specific professional websites, including Google Scholar. The search terms included artificial intelligence, artificial neural network, deep learning, machine learning, big data, arterial hypertension, blood pressure, blood pressure measurement, cardiovascular disease, and personalized medicine. Specifically, AI-based systems could help continuously monitor BP using wearable technologies; in particular, BP can be estimated from a photoplethysmograph (PPG) signal obtained from a smartphone or a smartwatch using DL. Furthermore, thanks to ML algorithms, it is possible to identify new hypertension genes for the early diagnosis of AH and the prevention of complications. Moreover, integrating AI with omics-based technologies will lead to the definition of the trajectory of the hypertensive patient and the use of the most appropriate drug. However, AI is not free from technical issues and biases, such as over/underfitting, the "black-box" nature of many ML algorithms, and patient data privacy. In conclusion, AI-based systems will change clinical practice for AH by identifying patient trajectories for new, personalized care plans and predicting patients' risks and necessary therapy adjustments due to changes in disease progression and/or therapy response.

Identifiants

pubmed: 36826570
pii: jcdd10020074
doi: 10.3390/jcdd10020074
pmc: PMC9963880
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Valeria Visco (V)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Carmine Izzo (C)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Costantino Mancusi (C)

Department of Advanced Biomedical Sciences, Federico II University of Naples, 80138 Naples, Italy.

Antonella Rispoli (A)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Michele Tedeschi (M)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Nicola Virtuoso (N)

Cardiology Unit, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84131 Salerno, Italy.

Angelo Giano (A)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Renato Gioia (R)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Americo Melfi (A)

Cardiology Unit, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84131 Salerno, Italy.

Bianca Serio (B)

Hematology and Transplant Center, University Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84131 Salerno, Italy.

Maria Rosaria Rusciano (MR)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Paola Di Pietro (P)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Alessia Bramanti (A)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Gennaro Galasso (G)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Gianni D'Angelo (G)

Department of Computer Science, University of Salerno, 84084 Fisciano, Italy.

Albino Carrizzo (A)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.
Vascular Physiopathology Unit, IRCCS Neuromed, 86077 Pozzilli, Italy.

Carmine Vecchione (C)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.
Vascular Physiopathology Unit, IRCCS Neuromed, 86077 Pozzilli, Italy.

Michele Ciccarelli (M)

Department of Medicine, Surgery and Dentistry, University of Salerno, 84081 Baronissi, Italy.

Classifications MeSH