Қазақ ұлттық қыздар педагогикалық университеті / Казахский национальный женский педагогический университет

Постоянный URI для этого сообществаhttps://cris.qyzpu.kz/handle/123456789/1

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Автор: search.filters.author.Kairat KaribayevТема: search.filters.subject.QT dispersion

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    Development and Pilot Evaluation of a Wearable 12-Lead ECG System for Multilead Feature Analysis in Individuals with Different Glycemic Status
    (Multidisciplinary Digital Publishing Institute, 2026-03-04)
    Chingiz A. Alimbayev
    ;
    Zhadyra N. Alimbayeva
    ;
    Кassymbek Ozhikenov
    ;
    Kairat Karibayev
    ;
    Zhansila Orynbay
    Type 2 diabetes mellitus and prediabetes often develop silently and may remain undiagnosed for years. This is particularly relevant in regions where laboratory-based screening is not always readily accessible. Against this background, the present work explores whether multilead electrocardiography can provide physiologically meaningful markers potentially associated with disturbances in glucose metabolism. We developed and tested an upgraded wearable 12-lead ECG system capable of synchronized multichannel recording under controlled conditions. ECG signals were acquired in sitting and standing positions, with a sampling frequency of 500 Hz and a recording duration of one minute per posture. The hardware architecture included a high resolution analog front-end and wireless data transmission; the accompanying software provided acquisition control, preprocessing, visualization, and data storage within a unified framework. Signal processing focused on the extraction of rhythm-related and morphological parameters, with particular attention to ventricular repolarization indices. QT interval, heart rate-corrected QT (QTc), and QT dispersion (QTd) were calculated across leads, as these parameters are known to reflect heterogeneity of repolarization and autonomic influences on myocardial electrophysiology. The analysis was structured to ensure reproducible boundary detection and systematic feature formation rather than isolated parameter measurement. The study had a pilot character and included a limited and unbalanced sample (healthy n = 10; prediabetes n = 1; T2DM n = 1). For this reason, the results are presented descriptively and should be regarded as preliminary observations. In representative cases, differences in QT-related indices were noted between categories of glycemic status; however, the potential influence of age, sex, and other confounders cannot be excluded. A pilot expert comparison of T-wave end detection demonstrated close agreement between the automated algorithm and cardiologist assessment (mean ΔTend approximately -1 to -2 ms; MAE 10-24 ms). Diagnostic performance metrics such as ROC/AUC, sensitivity, and specificity were not calculated at this stage, as validation in a larger cohort with biochemical confirmation (HbA1c, OGTT) is required. The study demonstrates the technical feasibility of combining synchronized 12-lead wearable acquisition with structured multilead repolarization analysis. The proposed system should therefore be considered a research platform intended to support further clinical validation and methodological development rather than a finished screening solution.
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    Electrocardiographic Signatures of Dysglycaemia: Mechanistic Foundations, Digital Biomarkers, and Artificial Intelligence for Non-Invasive Diabetes Risk Stratification
    (Multidisciplinary Digital Publishing Institute, 2026-03-18)
    Chingiz A. Alimbayev
    ;
    Zhadyra N. Alimbayeva
    ;
    Kassymbek Ozhikenov
    ;
    Kairat Karibayev
    ;
    Zhansila Orynbay
    Diabetes mellitus is projected to affect more than 1.3 billion people worldwide by 2050, with millions remaining undiagnosed or in a prediabetic state. Cardiovascular complications account for nearly half of diabetes-related deaths, highlighting the need for scalable tools capable of identifying metabolic dysregulation before irreversible cardiac damage develops. This review synthesizes current mechanistic, clinical, and computational evidence linking diabetes to cardiac electrophysiological remodeling and examines electrocardiography (ECG) as a non-invasive modality for early detection of dysglycaemia. Chronic hyperglycaemia, insulin resistance, oxidative stress, microvascular dysfunction, and cardiac autonomic neuropathy collectively contribute to measurable ECG alterations, including QT/QTc prolongation, increased QT dispersion, changes in Tp–e indices, and reduced heart rate variability. These changes often precede overt cardiovascular disease and correlate with glycaemic burden and diabetes duration. Recent advances in signal processing and artificial intelligence have expanded the diagnostic potential of ECG. Both classical machine learning approaches and large-scale deep learning models demonstrate that ECG contains latent signatures associated with incident type 2 diabetes and glycaemic status. Despite promising results, heterogeneity in study design, limited representation of prediabetes, and lack of standardized validation frameworks remain major barriers to clinical translation. Prospective, multi-ethnic studies are needed to establish ECG-based screening as a reliable component of early diabetes detection strategies.
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