Evidence map›Paper›PMID 25793605›Full record

ArticlePloS one2015

Automatic prediction of cardiovascular and cerebrovascular events using heart rate variability analysis.

Paolo Melillo, Raffaele Izzo, Ada Orrico, Paolo Scala, Marcella Attanasio, Marco Mirra, Nicola De Luca, Leandro Pecchia

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04335097 (Sensor Based Vital Signs Monitoring of Patients With Clinical Manifestation of Covid 19 Disease During Home Isolation, a Randomized Feasibility Study), which is not on this map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04335097 nacompletednot on this mapstarted 2020, after this paper: background citation

Sensor Based Vital Signs Monitoring of Patients With Clinical Manifestation of Covid 19 Disease During Home Isolation, a Randomized Feasibility Study

TypeinterventionalSponsorLars WikRan2020 to 2022Enrolled138ConditionsCOVID 19ArmsBiosensors
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Automated Detection of Hypertension Using Physiological Signals: A Review.International journal of environmental research and public health · 2021
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Paolo MelilloMultidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Naples, Italy; SHARE Project, Italian Ministry of Education, Scientific Research and University, Rome, Italy.
Raffaele IzzoDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Ada OrricoMultidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Naples, Italy; SHARE Project, Italian Ministry of Education, Scientific Research and University, Rome, Italy.
Paolo ScalaSHARE Project, Italian Ministry of Education, Scientific Research and University, Rome, Italy.
Marcella AttanasioMultidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, Naples, Italy; SHARE Project, Italian Ministry of Education, Scientific Research and University, Rome, Italy.
Marco MirraDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Nicola De LucaDepartment of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Leandro PecchiaSchool of Engineering, University of Warwick, Coventry, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is consensus that Heart Rate Variability is associated with the risk of vascular events. However, Heart Rate Variability predictive value for vascular events is not completely clear. The aim of this study is to develop novel predictive models based on data-mining algorithms to provide an automatic risk stratification tool for hypertensive patients.

methodsA database of 139 Holter recordings with clinical data of hypertensive patients followed up for at least 12 months were collected ad hoc. Subjects who experienced a vascular event (i.e., myocardial infarction, stroke, syncopal event) were considered as high-risk subjects. Several data-mining algorithms (such as support vector machine, tree-based classifier, artificial neural network) were used to develop automatic classifiers and their accuracy was tested by assessing the receiver-operator characteristics curve. Moreover, we tested the echographic parameters, which have been showed as powerful predictors of future vascular events.

resultsThe best predictive model was based on random forest and enabled to identify high-risk hypertensive patients with sensitivity and specificity rates of 71.4% and 87.8%, respectively. The Heart Rate Variability based classifier showed higher predictive values than the conventional echographic parameters, which are considered as significant cardiovascular risk factors.

conclusionsCombination of Heart Rate Variability measures, analyzed with data-mining algorithm, could be a reliable tool for identifying hypertensive patients at high risk to develop future vascular events.

Indexed as

Heart RateAgedAlgorithmsAutomationCardiovascular DiseasesCerebrovascular DisordersDecision TreesFemaleHumansMaleROC CurveUltrasonography

Identifiers

PMID25793605
PMCPMC4368686

What Socratic holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.