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In today's digital world the information surges with the widespread use of the internet and global communication systems. Healthcare systems are also facing digital transformations with the enhancement in the utilization of healthcare information systems, electronic records in medical, wearable, smart devices, handheld devices, and so on. A bulk of data is produced from these digital transformations. The recent increase in medical big data and the development of computational techniques in the field of cardiology enables researchers and practitioners to extract and visualize medical big data in a new spectrum. The role of medical big data in cardiology becomes a challenging task. Early decision making in cardiac healthcare system has massive potential for dropping the cost of care, refining quality of care, and reducing waste and error. Therefore, to facilitate this process a detailed report of the existing literature will be feasible to help the doctors and practitioners in decision making for the purpose of identifying and treating cardiac diseases. This detailed study will summarize results from the existing literature on big data in the field cardiac disease. This research uses the systematic literature protocol as presented by Kitchenham et al. The data was collected from the published materials from 2008 to 2018 as conference or journal publications, books, magazines and other online sources. 190 papers were included relying on the defined inclusion, exclusion, and checking the quality criteria. The current study helped to identify medical big data features, the application of medical big data, and the analytics of the big data in cardiology. The results of the proposed research shows that several studies exist that are associated to medical big data specifically to cardiology. This research summarizes and organizes the existing literature based on the defined keywords and research questions. The analysis will help doctors to make more authentic decisions, which ultimately will help to use the study as evidence for treating patients with heart related diseases.INDEX TERMS Big data, big data features, analytics in cardiology, healthcare, systematic literature review (SLR).
In today's digital world the information surges with the widespread use of the internet and global communication systems. Healthcare systems are also facing digital transformations with the enhancement in the utilization of healthcare information systems, electronic records in medical, wearable, smart devices, handheld devices, and so on. A bulk of data is produced from these digital transformations. The recent increase in medical big data and the development of computational techniques in the field of cardiology enables researchers and practitioners to extract and visualize medical big data in a new spectrum. The role of medical big data in cardiology becomes a challenging task. Early decision making in cardiac healthcare system has massive potential for dropping the cost of care, refining quality of care, and reducing waste and error. Therefore, to facilitate this process a detailed report of the existing literature will be feasible to help the doctors and practitioners in decision making for the purpose of identifying and treating cardiac diseases. This detailed study will summarize results from the existing literature on big data in the field cardiac disease. This research uses the systematic literature protocol as presented by Kitchenham et al. The data was collected from the published materials from 2008 to 2018 as conference or journal publications, books, magazines and other online sources. 190 papers were included relying on the defined inclusion, exclusion, and checking the quality criteria. The current study helped to identify medical big data features, the application of medical big data, and the analytics of the big data in cardiology. The results of the proposed research shows that several studies exist that are associated to medical big data specifically to cardiology. This research summarizes and organizes the existing literature based on the defined keywords and research questions. The analysis will help doctors to make more authentic decisions, which ultimately will help to use the study as evidence for treating patients with heart related diseases.INDEX TERMS Big data, big data features, analytics in cardiology, healthcare, systematic literature review (SLR).
Cachexia may be caused by congestive heart failure, and it is then called cardiac cachexia, which leads to increased morbidity and mortality. Cardiac cachexia also worsens skeletal muscle degradation. Cardiac cachexia is the loss of edema-free muscle mass with or without affecting fat tissue. It is mainly caused by a loss of balance between protein synthesis and degradation, or it may result from intestinal malabsorption. The loss of balance in protein synthesis and degradation may be the consequence of altered endocrine mediators such as insulin, insulin-like growth factor 1, leptin, ghrelin, melanocortin, growth hormone and neuropeptide Y. In contrast to many other health problems, fat accumulation in the heart is protective in this condition. Fat in the heart can be divided into epicardial, myocardial and cardiac steatosis. In this review, we describe and discuss these topics, pointing out the interconnection between heart failure and cardiac cachexia and the protective role of cardiac obesity. We also set the basis for possible screening methods that may allow for a timely diagnosis of cardiac cachexia, since there is still no cure for this condition. Several therapeutic procedures are discussed including exercise, nutritional proposals, myostatin antibodies, ghrelin, anabolic steroids, anti-inflammatory substances, beta-adrenergic agonists, medroxyprogesterone acetate, megestrol acetate, cannabinoids, statins, thalidomide, proteasome inhibitors and pentoxifylline. However, to this date, there is no cure for cachexia.
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