{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T08:39:27Z","timestamp":1771922367263,"version":"3.50.1"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T00:00:00Z","timestamp":1768521600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Artif. Intell."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Heart diseases (CVDs) are a major cause of morbidity and mortality in all global regions and thus there is the pressing need to develop early detection and effective management approaches. Traditional cardiovascular monitoring systems do not necessarily have real-time analyzing solutions and individual understanding, which leads to delayed interventions. Moreover, one of the greatest issues in digital healthcare applications remains to be data privacy and security.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The proposed research is to present a developed model of CVD detection that will combine Internet of Things (IoT)-based wearable devices, electronic clinical records, and access control using blockchain. The system starts by registering patients and medical personnel and then proceeds with collecting physiological as well as clinical data. Kalman filtering helps in improving data reliability in the pre-processing stage. Shallow and deep feature extraction methods are used to describe complicated patterns of data. A Refracted Sand Cat Swarm Optimization (SCSO) algorithm is used as part of feature maximization. A new TriBoostCardio Ensemble model (CatBoost, AdaBoost, and LogitBoost) is used to conduct the classification task and enhance the predictive accuracy. Smart contracts provide safe and transparent access to health information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There are experimental results that the proposed framework enhances high predictive accuracy and detecting cardiovascular diseases earlier than traditional ones. The combination between SCSO feature selection and the TriBoostCardio Ensemble model improves the sturdiness of the model and precision of classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Besides the fact that the presented framework promotes the accuracy and timeliness of CVD detection, it also way to deal with important problems related to the data privacy and integrity with the help of blockchain-based access control. This solution offers a stable and trustworthy solution to the current healthcare systems with the combination of the smart optimization of features, ensemble learning, and secure data management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/frai.2025.1734013","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T06:31:39Z","timestamp":1768545099000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Triboostcardio ensemble model for cardiovascular disease detection using advanced blockchain-enabled health monitoring"],"prefix":"10.3389","volume":"8","author":[{"given":"M.","family":"Mayuranathan","sequence":"first","affiliation":[{"name":"Department of Computer Science and Engineering, SRM Valliammai Engineering College","place":["Chengalpattu, Tamil Nadu, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Anitha","sequence":"additional","affiliation":[{"name":"Department of Computer Science and Engineering, Panimalar Engineering College","place":["Chennai, Tamil Nadu, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Nehru","sequence":"additional","affiliation":[{"name":"Department of Computer Science and Engineering, B. 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Abdur Rahman Crescent Institute of Science and Technology","place":["Chennai, Tamil Nadu, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bosko","family":"Nikolic","sequence":"additional","affiliation":[{"name":"School of Electrical Engineering, University of Belgrade","place":["Belgrade, Serbia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milo\u0161","family":"Janji\u0107","sequence":"additional","affiliation":[{"name":"Innovation Centre, School of Electrical Engineering, University of Belgrade","place":["Belgrade, Serbia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nebojsa","family":"Bacanin","sequence":"additional","affiliation":[{"name":"Faculty of Informatics and Computing, Singidunum University","place":["Belgrade, Danijelova, Serbia"]},{"name":"Department of Mathematics, Saveetha School of Engineering, SIMATS","place":["Thandalam, Chennai, Tamil Nadu, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/978-3-030-78750-9_8","article-title":"Fog-assisted real-time coronary heart disease risk detection in IOT-based healthcare system","volume-title":"3rd EAI international conference on big data innovation for sustainable cognitive computing","author":"Ahmed","year":"2022"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1208","DOI":"10.3390\/jpm12081208","article-title":"MLP-PSO hybrid algorithm for heart disease prediction","volume":"12","author":"Al Bataineh","year":"2022","journal-title":"J. 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