Aug 2026· Engineering Reports· Vol 8· 0 citations· 41 references
TL;DR
This systematic review analyses the effectiveness of integrated AI‐based hypertension prediction and management systems those integrate real‐time oversight, interpretable risk prediction, customized lifestyle intervention, clinical decision support, and early warning procedure.
Abstract
Hypertension is one of the Crucial global contributors to cardiovascular diseases and death. It often progresses without any significant symptoms. Conventional care models are bounded by intermittent clinical measurements, therapeutic inertia, and inadequate personalization. Recent advancements in Artificial Intelligence (AI) empower a shift toward proactive, precision‐driven hypertension management. It keeps inspection, early risk detection, and intelligent clinical decision support. This systematic review analyses the effectiveness of integrated AI‐based hypertension prediction and management systems those integrate real‐time oversight, interpretable risk prediction, customized lifestyle intervention, clinical decision support, and early warning procedure. Following the PRISMA 2020 guidelines, 40 peer‐reviewed studies those were published between 2020 and 2026 were systematically reviewed across prominent healthcare and AI databases. AI‐driven systems validated strong predictive performance like high AI accuracy of Area Under the Curve (AUC) up to 0.97 and improved early detection and clinical actionability, but results are hard to compare due to differences in data and methods. Integrated AI‐based systems demonstrate strong potential to transform hypertension care, though long‐term validation remains limited.
It was demonstrated that machine learning (ML) and deep learning (DL) models consistently outperformed conventional cardiovascular risk prediction tools, achieving area under the receiver operating characteristic curve (AUC) values ranging from 0.80-0.99 across various cardiovascular conditions.
N. Muruganandan, P. Prathiba, Khyati Rajeshkumar Patel et al.· International Journal of Res...· 0 citations
A persistent and critical gap between predictive performance and clinical usability is highlighted, and four key directions for developing AI-ECG systems that can better support trustworthy clinical decision-making are outlined.
Hamza Nouri, Rafae Abderrahim, Mohamed Erritali· BioMedInformatics· 0 citations
Future work should prioritize calibration, robustness, transportability, fairness, interpretability, regulatory clarity, workflow integration, and prospective evidence of decision impact or post-deployment benefit, as well as major barriers remain.
Rui-Feng Liu, R. Arena, V. Vasile et al.· Progress in cardiovascular d...· 0 citations
This systematic review examines contemporary machine learning methods and explainable AI procedures engaged prediction of heart diseases and classification and applies explainability AI heart disease prediction models that will ease the process and also make the upcoming system with better progress and more trustworthy...
R. Jain, Sachin H. Patel· International journal of com...· 0 citations
Overall, AI outlines the transition from a reactive cardiology model toward a predictive, proactive, and precision-based approach in cardiovascular prevention, with a specific focus on risk stratification, early detection of subclinical disease, and identification of patients most likely to benefit from targeted interv...
Simona Giubilato, L. Granata, S. Petrina· Giornale italiano di cardiol...· 0 citations