作者
Edi Prifti, Ahmad Fall, Giovanni Davogustto, Alfredo Pulini, Isabelle Denjoy, Christian Funck-Brentano, Yasmin Khan, Alexandre Durand-Salmon, Quinn Wells, Antoine Leenhardt, Jean-Daniel Zucker, Dan Roden, Fabrice Extramiana, Joe-Elie SALEM
发表日期
2021/2/22
简介
Congenital or drug-induced long-QT syndromes can cause Torsade-de-Pointes (TdP), a life-threatening ventricular arrhythmia. The current strategy to identify individuals at high risk of TdP consists on measuring the QT duration on the electrocardiogram (ECG), shown to provide limited information. We propose an original method, including training deep neural networks to recognize ECG alterations induced by QT-prolonging drugs, as a comprehensive evaluation of TdP risk. These models accurately detected patients taking QT prolonging drugs during ECGs, while discriminating for the presence and type of congenital long-QT. Moreover, they enhanced prediction of drug-induced TdP events in addition to QT measurement. Analyses of these models revealed footprints of the torsadogenic risk and clinically relevant patient stratification.