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. 2021 Feb 25;8:611055. doi: 10.3389/fcvm.2021.611055

Table 1.

Steps of feature selection and the list of clinical features included in the machine learning models.

Demographics and clinical characteristics Comorbidities ECG Laboratory parameters Medications
Included in the ML models Age at CRT implantation Sex
Body mass index NYHA functional class
HF duration >18 months Etiology of heart failure
LVEF
LV end-diastolic diameter
Type of implanted device
LV lead position
Hypertension
Diabetes mellitus Type of AFCOPD
Smoking status
Valvular heart disease
QRS morphology Hemoglobin
Serum sodium
Serum creatinine
ACE-I/ARB Beta-blockers
CCB
Loop diuretics
Thiazide diuretics
MRA
Digitalis
Amiodarone
Statin
Allopurinol
Excluded due to collinearity Height
Weight
History of MI
History of CABG and/or PCI
Serum urea
GFR
Oral anticoagulants
Excluded due to ≥40% missing values Systolic blood pressure
Diastolic blood pressure
Heart rate
LV end-diastolic volume
LV end-systolic volume
QRS duration
PR interval
Lymphocyte
Total cholesterol
Serum uric acid
NT-proBNP

Feature selection included two consecutive steps. First, features missing in more than 40% of patients were excluded. Then, collinear variables (Spearman correlation coefficient ≥0.3 or ≤-0.3) were also eliminated as highly correlated variables might bias the further steps of the analysis. The final set of features included 30 clinical variables: age at CRT implantation, sex, body mass index, New York Heart Association functional class, heart failure duration >18 months, etiology of heart failure (ischemic or non-ischemic), left ventricular ejection fraction and end-diastolic diameter assessed with two-dimensional echocardiography, type of the implanted device (CRT-P or CRT-D), left ventricular lead position (anterior, lateral or posterior), hypertension, diabetes mellitus, type of atrial fibrillation (paroxysmal, persistent or permanent), chronic obstructive pulmonary disease, smoking status, valvular heart disease (moderate to severe aortic valve disease, moderate to severe mitral valve disease, severe tricuspid regurgitation), QRS morphology (non-LBBB or LBBB), hemoglobin concentration, serum sodium and creatinine, medical treatment with angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers, beta-blockers, calcium channel blockers, loop diuretics, thiazide diuretics, mineralocorticoid receptor antagonists, digitalis, amiodarone, statins, and allopurinol.

ACE-I, angiotensin-converting enzyme inhibitors; AF, atrial fibrillation; ARB, angiotensin II receptor blockers; CABG, coronary artery bypass grafting; CCB, calcium channel blocker; COPD, chronic obstructive pulmonary disease; CRT, cardiac resynchronization therapy; ECG, electrocardiogram; EF, ejection fraction; GFR, glomerular filtration rate; HF, heart failure; LV, left ventricular; MI, myocardial infarction; ML, machine learning; NYHA, New York Heart Association; NT-proBNP, N-terminal pro-brain natriuretic peptide; MRA, mineralocorticoid receptor antagonists; PCI, percutaneous coronary intervention.