Personalized Management for Heart Failure with Preserved Ejection Fraction

J Pers Med. 2023 Apr 27;13(5):746. doi: 10.3390/jpm13050746.

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a heterogeneous clinical syndrome with multiple underlying mechanisms and comorbidities that leads to a variety of clinical phenotypes. The identification and characterization of these phenotypes are essential for better understanding the precise pathophysiology of HFpEF, identifying appropriate treatment strategies, and improving patient outcomes. Despite accumulating data showing the potentiality of artificial intelligence (AI)-based phenotyping using clinical, biomarker, and imaging information from multiple dimensions in HFpEF management, contemporary guidelines and consensus do not incorporate these in daily practice. In the future, further studies are required to authenticate and substantiate these findings in order to establish a more standardized approach for clinical implementation.

Keywords: artificial intelligence; cluster; heart failure with preserved ejection fraction; latent class analysis; machine learning; phenotype.

Publication types

  • Review

Grants and funding

This study was further supported by the National Science Council (NSC) (101-2314-B-195-020, 103-2314-B-010-005-MY3, 103-2314-B-195-001-MY3, 101-2314-B-195-020-MY1), the Ministry of Science and Technology (MOST) (103-2314-B-195-006-MY3, 106-2314-B-195-008-MY2, 108-2314-B-195-018-MY2, 109-2314-B-715-008, 110-2314-B-715-009-MY1, 111-2314-B-715-013), MacKay Memorial Hospital (10271, 10248, 10220, 10253, 10375, 10358, E-102003, MMH-108-127, MMH-110-114, MMH-110-03), and MacKay Medical College (MMC-RD-109-1B-18, MMC-RD-108-2B-02; MMC-RD-109-1B-18; MMC-RD-110-CF-G001-02; MMC-RD-111-1B-P025; MMC-RD-111-CF-G001-02).