An AI-based automatic mechanism adequately classified 98% (1749 of 1783) of atrial fibrillation alerts in pacemaker recipients compared to human experts, resulting in an 84% reduction in workload.
Observational (n=60)
Does an AI-based automated workflow accurately classify atrial fibrillation alerts compared to human experts in pacemaker recipients?
An AI-based automated workflow can accurately classify atrial fibrillation alerts from pacemakers, significantly reducing physician workload without compromising patient safety.
AIMS: Remote monitoring of cardiac implantable electronic devices is a growing standard; yet, remote follow-up and management of alerts represents a time-consuming task for physicians or trained staff. This study evaluates an automatic mechanism based on artificial intelligence tools to filter atrial fibrillation (AF) alerts based on their medical significance. METHODS AND RESULTS: We evaluated this method on alerts for AF episodes that occurred in 60 pacemaker recipients. AKENATON prototype workflow includes two steps: natural language-processing algorithms abstract the patient health record to a digital version, then a knowledge-based algorithm based on an applied formal ontology allows to calculate the CHA2DS2-VASc score and evaluate the anticoagulation status of the patient. Each alert is then automatically classified by importance from low to critical, by mimicking medical reasoning. Final classification was compared with human expert analysis by two physicians. A total of 1783 alerts about AF episode >5 min in 60 patients were processed. A 1749 of 1783 alerts (98%) were adequately classified and there were no underestimation of alert importance in the remaining 34 misclassified alerts. CONCLUSION: This work demonstrates the ability of a pilot system to classify alerts and improves personalized remote monitoring of patients. In particular, our method allows integration of patient medical history with device alert notifications, which is useful both from medical and resource-management perspectives. The system was able to automatically classify the importance of 1783 AF alerts in 60 patients, which resulted in an 84% reduction in notification workload, while preserving patient safety.
Rosier et al. (2015) conducted an observational in Atrial fibrillation (n=60). AKENATON prototype workflow (AI-based automatic mechanism) vs. Human expert analysis was evaluated on Adequate classification of AF alerts compared to human expert analysis. An AI-based automatic mechanism adequately classified 98% (1749 of 1783) of atrial fibrillation alerts in pacemaker recipients compared to human experts, resulting in an 84% reduction in workload.