Scientists are developing a machine learning tool to predict which people are likely to suffer a life-threatening heart attack or stroke, thanks to new joint funding awarded by the British Heart Foundation (BHF) and the Alan Turing Institute.

Once developed, the artificial intelligence (AI) tool will help predict peoples’ risk based on their health records and could transform the way GPs identify, treat and advise at-risk patients.

Health professionals such as GPs use risk calculators as part of an ‘NHS Health Check’ to assess a patient’s 10-year risk of developing heart and circulatory disease. The tool helps doctors identify people who need to make lifestyle changes and medication to reduce their risk. 

However, these tools tend to use ‘snap-shot’ measurements of risk factors taken at the time of assessment – such as cholesterol levels and blood pressure – to predict the patient’s overall risk of cardiovascular disease. They do not account for a patient’s medical history and how their risk factors have changed over time, nor do they differentiate the risk by specific heart and circulatory diseases, such as heart attacks, strokes, heart failure or abnormal heart rhythms.

An international team of researchers led by the University of Cambridge plan to use the long-term health records of over 2 million people in the UK to develop a new machine learning algorithm to automatically predict peoples’ risk.

Much like meteorologists use trends from several years of data to predict tomorrow’s weather, machine learning tools will use the wealth of information in peoples’ long term health records to predict their future health problems. The algorithm will take account of peoples’ historical medical records, and map past trends in each individual’s health to generate the most accurate personalised risk score possible. It will also separate and classify the risk for each type of heart and circulatory disease, such as stroke or heart disease, rather than giving a general risk score.

This is important because the risk factors for each type of disease vary, and the extra information will help GPs better treat and advise patients. This project is one of six research grant applications awarded through a £550,000 dedicated joint funding scheme between the BHF and The Alan Turing Institute. 

Dr Angela Wood, Senior University Lecturer in Biostatistics at The University of Cambridge said:

“It’s only recently that we’ve had the technology to process the huge amount of data available in health records and use it to our own advantage. New algorithms could allow us to pick up entirely new and detailed patterns in people’s past health to predict their risk of future events – ultimately saving lives.”

Professor Metin Avkiran, Associate Medical Director at the British Heart Foundation said:

“More people than ever are living with the devastating aftermath of a heart attack or stroke. Investing in data science and machine learning innovation is critical if we want to reduce the burden of early deaths and unnecessarily suffering from heart and circulatory disease.

“Data science is set to accelerate breakthroughs in medical research and the outcome of projects such as this could ultimately transform care for millions of people living under the shadow of heart and circulatory disease in the UK.”

Alan Turing’s pioneering work in theoretical and applied mathematics; engineering and computing provided the foundations for modern computing and artificial intelligence. The partnership between the BHF and the Institute came about as they recognised the emerging field of artificial intelligence and the potential impact data science solutions can have on medical research.

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