PIPages
Labs

Qiuying Sha

Michigan Technological University, MI·Computer Science

Heart failure is common and deadly, and one standard treatment is cardiac resynchronization therapy (CRT): a pacemaker-like device that sends electrical pulses so the heart's left and right pumping chambers (ventricles) beat together again. Yet 30–40% of patients who receive CRT do not improve.

Fields

Computer Science

Biomedical Engineering

Medicine & Clinical Research

Topics

cardiac resynchronization therapy

heart failure

electrical dyssynchrony

Grants
1 known grant, through Jul 2027

What they work on

  1. Identify subgroups of heart failure patients more likely to respond to cardiac resynchronization therapy by applying unsupervised machine learning to combined ECG electrical timing and gated SPECT mechanical timing measures.
  2. Optimize and explain the multi-stage clinical decision process for selecting CRT patients using reinforcement learning, an approach where an algorithm learns the best sequence of decisions.
  3. Develop a method that recommends left ventricular pacing sites by combining electrical dyssynchrony, myocardial viability (living heart muscle), and mechanical dyssynchrony from SPECT myocardial perfusion imaging.
  4. Rigorously validate the new algorithms and clinical knowledge for predicting and improving CRT response.

More about the research

According to the project, there are three reasons. Doctors pick patients mainly from the electrocardiogram (ECG), which only measures electrical timing problems. Mechanical timing problems, meaning how unevenly the heart wall actually moves, are underused. And the wire that paces the left ventricle is often placed in a poor spot.

Why it matters

Many patients with heart failure receive a CRT device and gain little benefit, while still bearing the risks of an implant. Better ways to choose who receives CRT, and where to place the pacing lead, could raise response rates. Clinicians would get interpretable decision support built from routine ECGs and nuclear heart scans. That could help them avoid procedures unlikely to help some patients and improve heart function in others.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Integrative analysis of electrical and mechanical dyssynchrony to improve cardiac resynchronization therapy

NIH · Aug 2024 – Jul 2027

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The school

Michigan Technological University: 9 labs on PI Pages, $107M a year on research, 86 research doctorates a year.

More about Michigan Technological University

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