Heart failure & cardiomyopathiesResearch article

AI task-shifting for echocardiographic left ventricular ejection fraction (LVEF) assessment in Singapore: an economic evaluation

ESC Heart FailPublished

  • cost-minimization analysis
  • decision tree model
  • probabilistic sensitivity analysis

Authors' conclusion

This study provides economic evidence that task-shifting echocardiographic assessment of LVEF to novices using AI-POC devices is likely cost-saving compared to standard TTE. This task-shifting strategy offers a cost-saving alternative to conventional sonographer-led TTE.

Study context

Population
Patients with suspected heart failure undergoing assessment for LVEF <50%, single tertiary referral centre in Singapore
Comparison
AI-POC vs TTE

Main finding

As reported in the abstract

Cost per patient

AI-POC

S$1185 [US$1422]

average · per patient

TTE

S$1403 [US$1684]

per patient

Further findings

Savings from implementing AI-POC devices in 100 patients, single tertiary referral centre

Savings in 100 patients
S$21 669 [US$26 013]

Probabilistic sensitivity analysis

Probability that the AI-POC approach would be cost-saving compared to standard TTE
99.9%

Original publication

AI task-shifting for echocardiographic LVEF assessment in Singapore: an economic evaluation. ESC Heart Fail. Published 5 March 2026. doi:10.1093/eschf/xvag069

Summarised from the published abstract; every number is checked against it