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Pantelidis P, Dilaveris P, Ruipérez-Campillo S, Goliopoulou A, Giannakodimos A, Theofilis P, De Lucia R, Katsarou O, Zisimos K, Kalogeras K, Oikonomou E, Siasos G. Hearts, Data, and Artificial Intelligence Wizardry: From Imitation to Innovation in Cardiovascular Care. Biomedicines 2025; 13:1019. [PMID: 40426849 PMCID: PMC12109432 DOI: 10.3390/biomedicines13051019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2025] [Revised: 04/14/2025] [Accepted: 04/21/2025] [Indexed: 05/29/2025] Open
Abstract
Artificial intelligence (AI) is transforming cardiovascular medicine by enabling the analysis of high-dimensional biomedical data with unprecedented precision. Initially employed to automate human tasks such as electrocardiogram (ECG) interpretation and imaging segmentation, AI's true potential lies in uncovering hidden disease data patterns, predicting long-term cardiovascular risk, and personalizing treatments. Unlike human cognition, which excels in certain tasks but is limited by memory and processing constraints, AI integrates multimodal data sources-including ECG, echocardiography, cardiac magnetic resonance (CMR) imaging, genomics, and wearable sensor data-to generate novel clinical insights. AI models have demonstrated remarkable success in early dis-ease detection, such as predicting heart failure from standard ECGs before symptom on-set, distinguishing genetic cardiomyopathies, and forecasting arrhythmic events. However, several challenges persist, including AI's lack of contextual understanding in most of these tasks, its "black-box" nature, and biases in training datasets that may contribute to disparities in healthcare delivery. Ethical considerations and regulatory frameworks are evolving, with governing bodies establishing guidelines for AI-driven medical applications. To fully harness the potential of AI, interdisciplinary collaboration among clinicians, data scientists, and engineers is essential, alongside open science initiatives to promote data accessibility and reproducibility. Future AI models must go beyond task automation, focusing instead on augmenting human expertise to enable proactive, precision-driven cardiovascular care. By embracing AI's computational strengths while addressing its limitations, cardiology is poised to enter an era of transformative innovation beyond traditional diagnostic and therapeutic paradigms.
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Affiliation(s)
- Panteleimon Pantelidis
- 3rd Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (A.G.); (A.G.); (O.K.); (K.Z.); (K.K.); (E.O.); (G.S.)
- Department of Computer and Systems Sciences, Stockholm University, 16455 Stockholm, Sweden
| | - Polychronis Dilaveris
- 1st Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (P.D.); (P.T.)
| | - Samuel Ruipérez-Campillo
- Department of Computer Science, ETH Zurich, 8092 Zurich, Switzerland;
- Department of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Athina Goliopoulou
- 3rd Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (A.G.); (A.G.); (O.K.); (K.Z.); (K.K.); (E.O.); (G.S.)
| | - Alexios Giannakodimos
- 3rd Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (A.G.); (A.G.); (O.K.); (K.Z.); (K.K.); (E.O.); (G.S.)
| | - Panagiotis Theofilis
- 1st Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (P.D.); (P.T.)
| | - Raffaele De Lucia
- 2nd Division of Cardiology, Cardiac Thoracic and Vascular Department, Azienda Ospedaliero Universitaria Pisana, 56124 Pisa, Italy;
| | - Ourania Katsarou
- 3rd Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (A.G.); (A.G.); (O.K.); (K.Z.); (K.K.); (E.O.); (G.S.)
| | - Konstantinos Zisimos
- 3rd Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (A.G.); (A.G.); (O.K.); (K.Z.); (K.K.); (E.O.); (G.S.)
| | - Konstantinos Kalogeras
- 3rd Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (A.G.); (A.G.); (O.K.); (K.Z.); (K.K.); (E.O.); (G.S.)
| | - Evangelos Oikonomou
- 3rd Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (A.G.); (A.G.); (O.K.); (K.Z.); (K.K.); (E.O.); (G.S.)
| | - Gerasimos Siasos
- 3rd Department of Cardiology, National and Kapodistrian University of Athens, 11527 Athens, Greece; (A.G.); (A.G.); (O.K.); (K.Z.); (K.K.); (E.O.); (G.S.)
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