The Role of Artificial Intelligence in the Diagnosis and Prognosis of Heart Diseases: A Systematic Review

The integration of artificial intelligence (AI) into the diagnosis and prognosis of heart diseases is transforming cardiovascular and cardiac healthcare, improving predictive accuracy, and personalizing treatment plans. This review presents a novel contribution by providing a comprehensive overview of both diagnosis and prognosis in heart diseases through AI, covering ML and DL models. Following the PRISMA guidelines, a total of 84 recent research articles sourced from significant journals are reported. A bibliometric analysis using the VOSviewer tool was performed to map the impact of AI, enabling a detailed examination of academic connections and contributions. The findings reveal that DL models were employed 63% for diagnosis tasks, while ML models were utilized in 37% of the studies. Key recommendations include the incorporation of essential model evaluation metrics, as clinical validation indicators, integrating explainable artificial intelligence (XAI) to improve the transparency and interpretability of models, and adopting standardized frameworks to enable smooth clinical integration. This review highlights the potential of AI to improve cardiac and cardiovascular diagnosis and prognosis, providing an overview of its strengths, limitations, challenges and the possible application as AI-driven tools in patient monitoring and to support specialists in the decision-making process.