Efficacy of Morphine Combined with Mechanical Ventilation in the Treatment of Heart Failure with Cardiac Magnetic Resonance Imaging under Artificial Intelligence Algorithms.

Zhihai Geng,Xi Han,Xuelian Zhu,Qiang Li,Bolun Chen,M Pallikonda Rajasekaran

doi:10.1155/2022/1732915

Abstract

This study was aimed at exploring the efficacy of morphine combined with mechanical ventilation in the treatment of heart failure with artificial intelligence algorithms. The cardiac magnetic resonance imaging (MRI) under the watershed segmentation algorithm was proposed, and the local grayscale clustering watershed (LGCW) model was designed in this study. A total of 136 patients with acute left heart failure were taken as the research objects and randomly divided into the control group (conventional treatment) and the experimental group (morphine combined with mechanical ventilation), with 68 cases in each group. The left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), left ventricular ejection fraction (LVEF), N-terminal pro-brain natriuretic peptide (NT-proBNP), arterial partial pressure of oxygen (PaO2), and arterial partial pressure of carbon dioxide (PaCO2) were observed. The results showed that the mean absolute deviation (MAD) and maximum mean absolute deviation (max-MAD) of the LGCW model were lower than those of the fuzzy k-nearest neighbor (FKNN) algorithm and local gray-scale clustering model (LGSCm). The Dice metric was also significantly higher than that of other algorithms with statistically significant differences (P < 0.05). After treatment, LVEDD, LVESD, and NT-proBNP of patients in the experimental group were significantly lower than those in the control group, and LVEF in the experimental group was higher than that in the control group (P < 0.05). PaO2 of patients in the experimental group was also significantly higher than that in the control group (P < 0.05). It suggested that the LGCW model had a better segmentation effect, and morphine combined with mechanical ventilation gave a better clinical efficacy in the treatment of acute left heart failure, improving the patients' cardiac function and arterial blood gas effectively.

Highlights

Heart failure is the ventricular insufficiency caused by structural or functional diseases of the heart
Noninvasive positive pressure ventilation helps to improve the ratio of ventilation to blood flow effectively, and morphine can make patients with acute left heart failure adapt to noninvasive mechanical ventilation better. erefore, the watershed-based cardiac magnetic resonance imaging (MRI) segmentation algorithm was proposed in this study, together with the local gray-scale clustering model (LGSCm) introduced, for the efficacy evaluation of morphine combined with mechanical ventilation in the treatment of acute left heart failure
As the fuzzy k-nearest neighbor (FKNN) algorithm [22] was introduced in this study, the mean absolute deviation (MAD), maximum mean absolute deviation (max-MAD), and Dice metric (DM) of the FKNN, LGSCm, and local grayscale clustering watershed (LGCW) were compared and analyzed, with the results shown in Figure 3. e MAD values of LGSCm, FKNN, and LGCW were 17.76 ± 10.8PT, 3.24 ± 2.27PT, and MAD (PT) DM (%)

Summary

Introduction

Heart failure is the ventricular insufficiency caused by structural or functional diseases of the heart. It is usually classified into acute heart failure and chronic heart failure, and the former can be a sign of aggravation of the latter [1,2,3]. Acute left heart failure is clinically the most common, which manifests as severe dyspnea, orthopnea, expectoration with pink foamy sputum, dysphoria, fear, and so on. Hypoxemia may occur in patients with heart failure; for some severe cases, it would occur complicated with acute pulmonary edema or cardiogenic shock. Erefore, the key to the treatment of heart failure is to improve cardiopulmonary function and oxygenation of patients timely Hypoxemia may occur in patients with heart failure; for some severe cases, it would occur complicated with acute pulmonary edema or cardiogenic shock. [5, 6]. erefore, the key to the treatment of heart failure is to improve cardiopulmonary function and oxygenation of patients timely

Methods

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Discussion

Conclusion