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Прогнозирование госпитальной летальности у больных инфарктом миокарда с подъемом сегмента ST: эволюция технологий рискометрии и оценка их эффективности (обзор)

Прогнозирование госпитальной летальности у больных инфарктом миокарда с подъемом сегмента ST: эволюция технологий рискометрии и оценка их эффективности (обзор)

Б.И. Гельцер, И.Г. Домжалов, К.И. Шахгельдян, Н.С. Куксин, Е.А. Кокарев, Р.Л. Пак, В.Н. Котельников
Ключевые слова: инфаркт миокарда с подъемом сегмента ST; госпитальная летальность; прогностические модели; машинное обучение.
2024, том 16, номер 4, стр. 61.
DOI: https://doi.org/10.17691/stm2024.16.4.07

Полный текст статьи

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Стратификация рисков госпитальной летальности у больных инфарктом миокарда с подъемом сегмента ST на электрокардиограмме является важным этапом оказания специализированной медицинской помощи. В систематическом обзоре представлены данные научной литературы, характеризующие предсказательную ценность как классических прогностических шкал (GRACE, CADDILLAC, TIMI risk score for STEMI, РЕКОРД и др.), так и новых инструментов рискометрии, разработанных на основе современных методов машинного обучения. Большинство исследований по данной проблеме чаще всего сосредоточено на поиске новых предикторов неблагоприятных событий, позволяющих детализировать взаимосвязи показателей клинико-функционального статуса больных и конечной точки исследования. Важной задачей при этом является разработка прогностических алгоритмов госпитальной летальности, обладающих свойствами объяснимого искусственного интеллекта и пользующихся доверием врачей.

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