Emerging Concepts and Applied Machine Learning Research in Patients with Drug-Induced Repolarization Disorders

Stud Health Technol Inform. 2020 Jun 16:270:198-202. doi: 10.3233/SHTI200150.

Abstract

The paper presents a review of current research to develop predictive models for automated detection of drug-induced repolarization disorders and shows a feasibility study for developing machine learning tools trained on massive multimodal datasets of narrative, textual and electrocardiographic records. The goal is to reduce drug-induced long QT and associated complications (Torsades-de-Pointes, sudden cardiac death), by identifying prescription patterns with pro-arrhythmic propensity using a validated electronic application for the detection of adverse drug events with data mining and natural language processing; and to compute individual-based predictive scores in order to further identify clinical conditions, concomitant diseases, or other variables that correlate with higher risk of pro-arrhythmic situations.

Keywords: Adverse Drug Events; Analytic-Decision Modelling; Clinical Decision Support System; Electrocardiography; Long QT; Machine Learning; Pharmacovigilance; Repolarization Disorders; Torsades-de-Pointes.

Publication types

  • Review

MeSH terms

  • Death, Sudden, Cardiac
  • Electrocardiography
  • Humans
  • Long QT Syndrome
  • Machine Learning*
  • Torsades de Pointes