Mapping of Neuro-Cardiac Electrophysiology: Interlinking Epilepsy and Arrhythmia

Author:

Senapati Sidhartha G.1,Bhanushali Aditi K.2,Lahori Simmy2,Naagendran Mridula Sree3,Sriram Shreya4,Ganguly Arghyadeep5,Pusa Mounika6,Damani Devanshi N.17,Kulkarni Kanchan89ORCID,Arunachalam Shivaram P.2410ORCID

Affiliation:

1. Department of Internal Medicine, Texas Tech University Health and Sciences Center, El Paso, TX 79905, USA

2. Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA

3. Department of Internal Medicine, University of Connecticut, Farmington, CT 06030, USA

4. Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, MN 55905, USA

5. Department of Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI 49007, USA

6. Mamata Medical College, Khammam 507002, Telangana, India

7. Department of Cardiology, Mayo Clinic, Rochester, MN 55905, USA

8. IHU-LIRYC, Heart Rhythm Disease Institute, Fondation Bordeaux Université, Pessac, 33600 Bordeaux, France

9. INSERM, Centre de recherche Cardio-Thoracique de Bordeaux, University of Bordeaux, U1045, 33000 Bordeaux, France

10. Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA

Abstract

The interplay between neurology and cardiology has gained significant attention in recent years, particularly regarding the shared pathophysiological mechanisms and clinical comorbidities observed in epilepsy and arrhythmias. Neuro-cardiac electrophysiology mapping involves the comprehensive assessment of both neural and cardiac electrical activity, aiming to unravel the intricate connections and potential cross-talk between the brain and the heart. The emergence of artificial intelligence (AI) has revolutionized the field by enabling the analysis of large-scale data sets, complex signal processing, and predictive modeling. AI algorithms have been applied to neuroimaging, electroencephalography (EEG), electrocardiography (ECG), and other diagnostic modalities to identify subtle patterns, classify disease subtypes, predict outcomes, and guide personalized treatment strategies. In this review, we highlight the potential clinical implications of neuro-cardiac mapping and AI in the management of epilepsy and arrhythmias. We address the challenges and limitations associated with these approaches, including data quality, interpretability, and ethical considerations. Further research and collaboration between neurologists, cardiologists, and AI experts are needed to fully unlock the potential of this interdisciplinary field.

Funder

Advanced Analytics and Practice Innovation unit

GIH Division

Publisher

MDPI AG

Subject

Pharmacology (medical),General Pharmacology, Toxicology and Pharmaceutics

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