Жарияланымдар / Публикации

Постоянный URI для этого сообществаhttps://cris.qyzpu.kz/handle/123456789/2

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2023 - 20262

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Автор: search.filters.author.Aiman K. OzhikenovaТема: search.filters.subject.electrocardiogram

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    Using The Machine Learning Method in Portable ECG Monitoring System to Identify Diagnostically Complex Heart Diseases
    (2023-06-29)
    Aidana K. Yerkebay
    ;
    Zhadyra N. Alimbayeva
    ;
    Chingiz A. Alimbayev
    ;
    Aiman K. Ozhikenova
    ;
    Nurlan A. Bayanbay
    Due to the high level of disability and death caused by heart diseases worldwide, the problem of combating cardiovascular diseases is becoming more and more important and relevant. In fact, one of the leading causes of death worldwide has long been cardiovascular disease, according to the World Health Organization. Among heart diseases, the most dangerous to life is myocardial infarction. In connection with the rapid morbidity, early diagnosis of this disease is one of the topical problems of modern public health care. At present, although there is a wide range of different statistical, math methods and computer tools for the processing of cardiological information, the task of increasing the accuracy of methods for the analysis of electrocardiograms and diagnostic tools in this field of study remained relevant. Taking into account the imperfect tools and systems for diagnosing heart diseases, as well as the human factor, the lack of a method that can help doctors to diagnose myocardial infarction early requires the development of new diagnostic information methods. This article presents a neural network analysis methodology for diagnosing myocardial infarction based on the joint analysis of direct and reverse signs of myocardial infarction from electrocardiographic information obtained from a portable cardiac analyzer.
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    A Structured Critical Review of Machine Learning Approaches for ECG-Based Detection of Dysglycemia and Their Translational Readiness
    (Multidisciplinary Digital Publishing Institute, 2026-05-27)
    Zhadyra N. Alimbayeva
    ;
    Chingiz A. Alimbayev
    ;
    Kassymbek Ozhikenov
    ;
    Aiman K. Ozhikenova
    ;
    Ussen Shylmyrza
    This structured critical review provides a comparative and analytically grounded overview of machine learning (ML) approaches for electrocardiography (ECG)-based detection of dysglycemia, with a specific focus on translational readiness for clinical screening. A structured literature search across PubMed, Scopus, Web of Science, and IEEE Xplore identified 183 records, of which 17 studies were included following predefined screening criteria and PRISMA-guided selection principles. The included studies demonstrate substantial heterogeneity in dataset size (ranging from 25,000 subjects), ECG acquisition modalities (single-lead, 12-lead, wearable), feature representations (raw signals, heart rate variability, engineered features), and ML strategies (classical algorithms, deep learning, and multimodal models). Reported model performance is generally high, with accuracy values frequently exceeding 0.85 and area under the curve (AUC) ranging from 0.78 to 0.99. Smaller experimental studies often report inflated performance (up to 96–99% accuracy), whereas large-scale population-based investigations demonstrate more moderate but clinically plausible results (AUC ≈ 0.80–0.85). External validation, a key requirement for clinical applicability, was performed in only a limited subset of studies (approximately 12%). From a physiological perspective, ML models exploit ECG alterations associated with dysglycemia, including reduced heart rate variability, QT interval prolongation, and changes in ventricular depolarization and repolarization dynamics. However, the relationship between metabolic dysfunction and ECG signals remains indirect. A key finding of this review is the mismatch between reported predictive performance and translational readiness. The majority of studies (≈65–70%) are classified as early-stage (Level 1–2 or 2–3), relying on small, single-center datasets and internal validation. Only a minority of studies achieve near-translational maturity (Level 4), characterized by large-scale datasets and external validation. ECG-based dysglycemia detection represents a promising non-invasive and scalable screening paradigm. However, its clinical translation is constrained by the lack of standardized ECG acquisition protocols, limited dataset diversity, insufficient external validation, and fragmented methodological approaches. Future research should prioritize large multi-center datasets, standardized feature extraction pipelines, hybrid interpretable models, and prospective validation to enable robust, generalizable, and clinically deployable screening systems.