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Machine Learning Analyses Revealed Distinct Arterial Pulse Variability According to Side Effects of Pfizer-BioNTech COVID-19 Vaccine (BNT162b2)

Various adverse events and complications have been attributed to COVID-19 (coronavirus disease 2019) vaccinations, which can affect the cardiovascular system, with conditions such as myocarditis, thrombosis, and ischemia. The aim of this study was to combine noninvasive pulse measurements and freque...

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Autores principales: Chen, Chun-Chao, Chang, Che-Kai, Chiu, Chun-Chih, Yang, Tsung-Yeh, Hao, Wen-Rui, Lin, Cheng-Hsin, Fang, Yu-Ann, Jian, William, Hsu, Min-Huei, Yang, Tsung-Lin, Liu, Ju-Chi, Hsiu, Hsin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9605457/
https://www.ncbi.nlm.nih.gov/pubmed/36294440
http://dx.doi.org/10.3390/jcm11206119
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author Chen, Chun-Chao
Chang, Che-Kai
Chiu, Chun-Chih
Yang, Tsung-Yeh
Hao, Wen-Rui
Lin, Cheng-Hsin
Fang, Yu-Ann
Jian, William
Hsu, Min-Huei
Yang, Tsung-Lin
Liu, Ju-Chi
Hsiu, Hsin
author_facet Chen, Chun-Chao
Chang, Che-Kai
Chiu, Chun-Chih
Yang, Tsung-Yeh
Hao, Wen-Rui
Lin, Cheng-Hsin
Fang, Yu-Ann
Jian, William
Hsu, Min-Huei
Yang, Tsung-Lin
Liu, Ju-Chi
Hsiu, Hsin
author_sort Chen, Chun-Chao
collection PubMed
description Various adverse events and complications have been attributed to COVID-19 (coronavirus disease 2019) vaccinations, which can affect the cardiovascular system, with conditions such as myocarditis, thrombosis, and ischemia. The aim of this study was to combine noninvasive pulse measurements and frequency domain analysis to determine if the Pfizer-BioNTech COVID-19 vaccine (BNT162b2) vaccination and its accompanying cardiovascular side effects will induce changes in arterial pulse transmission and waveform. Radial blood pressure waveform and photoplethysmography signals were measured noninvasively for 1 min in 112 subjects who visited Shuang-Ho Hospital for a BNT162b2 vaccination. Based on side effects, each subject was assigned to Group N (no side effects), Group CV (cardiac or vascular side effects), Group C (cardiac side effects only), or Group V (vascular side effects only). Two classification methods were used: (1) machine-learning (ML) analysis using 40 harmonic pulse indices (amplitude proportions, phase angles, and their variability indices) as features, and (2) a pulse-variability score analysis developed in the present study. Significant effects on the pulse harmonic indices were noted in Group V following vaccination. ML and pulse-variability score analyses provided acceptable AUCs (0.67 and 0.80, respectively) and hence can aid discriminations among subjects with cardiovascular side effects. When excluding ambiguous data points, the AUC of the score analysis further improved to 0.94 (with an adopted proportion of around 64.1%) for vascular side effects. The present findings may help to facilitate a time-saving and easy-to-use method for detecting changes in the vascular properties associated with the cardiovascular side effects following BNT162b2 vaccination.
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spelling pubmed-96054572022-10-27 Machine Learning Analyses Revealed Distinct Arterial Pulse Variability According to Side Effects of Pfizer-BioNTech COVID-19 Vaccine (BNT162b2) Chen, Chun-Chao Chang, Che-Kai Chiu, Chun-Chih Yang, Tsung-Yeh Hao, Wen-Rui Lin, Cheng-Hsin Fang, Yu-Ann Jian, William Hsu, Min-Huei Yang, Tsung-Lin Liu, Ju-Chi Hsiu, Hsin J Clin Med Article Various adverse events and complications have been attributed to COVID-19 (coronavirus disease 2019) vaccinations, which can affect the cardiovascular system, with conditions such as myocarditis, thrombosis, and ischemia. The aim of this study was to combine noninvasive pulse measurements and frequency domain analysis to determine if the Pfizer-BioNTech COVID-19 vaccine (BNT162b2) vaccination and its accompanying cardiovascular side effects will induce changes in arterial pulse transmission and waveform. Radial blood pressure waveform and photoplethysmography signals were measured noninvasively for 1 min in 112 subjects who visited Shuang-Ho Hospital for a BNT162b2 vaccination. Based on side effects, each subject was assigned to Group N (no side effects), Group CV (cardiac or vascular side effects), Group C (cardiac side effects only), or Group V (vascular side effects only). Two classification methods were used: (1) machine-learning (ML) analysis using 40 harmonic pulse indices (amplitude proportions, phase angles, and their variability indices) as features, and (2) a pulse-variability score analysis developed in the present study. Significant effects on the pulse harmonic indices were noted in Group V following vaccination. ML and pulse-variability score analyses provided acceptable AUCs (0.67 and 0.80, respectively) and hence can aid discriminations among subjects with cardiovascular side effects. When excluding ambiguous data points, the AUC of the score analysis further improved to 0.94 (with an adopted proportion of around 64.1%) for vascular side effects. The present findings may help to facilitate a time-saving and easy-to-use method for detecting changes in the vascular properties associated with the cardiovascular side effects following BNT162b2 vaccination. MDPI 2022-10-17 /pmc/articles/PMC9605457/ /pubmed/36294440 http://dx.doi.org/10.3390/jcm11206119 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chen, Chun-Chao
Chang, Che-Kai
Chiu, Chun-Chih
Yang, Tsung-Yeh
Hao, Wen-Rui
Lin, Cheng-Hsin
Fang, Yu-Ann
Jian, William
Hsu, Min-Huei
Yang, Tsung-Lin
Liu, Ju-Chi
Hsiu, Hsin
Machine Learning Analyses Revealed Distinct Arterial Pulse Variability According to Side Effects of Pfizer-BioNTech COVID-19 Vaccine (BNT162b2)
title Machine Learning Analyses Revealed Distinct Arterial Pulse Variability According to Side Effects of Pfizer-BioNTech COVID-19 Vaccine (BNT162b2)
title_full Machine Learning Analyses Revealed Distinct Arterial Pulse Variability According to Side Effects of Pfizer-BioNTech COVID-19 Vaccine (BNT162b2)
title_fullStr Machine Learning Analyses Revealed Distinct Arterial Pulse Variability According to Side Effects of Pfizer-BioNTech COVID-19 Vaccine (BNT162b2)
title_full_unstemmed Machine Learning Analyses Revealed Distinct Arterial Pulse Variability According to Side Effects of Pfizer-BioNTech COVID-19 Vaccine (BNT162b2)
title_short Machine Learning Analyses Revealed Distinct Arterial Pulse Variability According to Side Effects of Pfizer-BioNTech COVID-19 Vaccine (BNT162b2)
title_sort machine learning analyses revealed distinct arterial pulse variability according to side effects of pfizer-biontech covid-19 vaccine (bnt162b2)
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9605457/
https://www.ncbi.nlm.nih.gov/pubmed/36294440
http://dx.doi.org/10.3390/jcm11206119
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