Heart failure & cardiomyopathiesDiagnostic or prognostic study

Artificial Intelligence Fully Automated Analysis of Handheld Echocardiography in Real-World Patients with Suspected Heart Failure

Eur J Heart FailPublished

  • Diagnostic accuracy study
  • multicentre
  • prospective
  • observational

Authors' conclusion

Artificial intelligence-automated analysis of handheld echocardiography had good diagnostic accuracy for detecting LVEF ≤40%. AI-automated analysis of LVEF of handheld scans was interchangeable with cart-based expert human analysis.

Study context

Population
Real-world patients with suspected heart failure (HF)
Participants
867 patients
Comparison
Artificial intelligence (AI) handheld vs Human cart-based
Outcome
Diagnostic accuracy of AI-automated analysis of handheld echocardiography to detect LVEF ≤40%

Performance

As reported in the abstract

Detection of LVEF ≤40% (vs human analysis of cart-based scans)
Test or modelDiagnostic accuracy
AI handheld0.93 (95% CI 0.90, 0.95)

Further findings

OutcomeIEC (95% CI)
Interchangeability of AI handheld LVEF with cart-based LVEF by two expert humans · interchangeable−0.40 (−0.60 to −0.16)

Scans with an left ventricular ejection fraction (LVEF) produced

AI, handheld scans
61%
AI, cart-based scans
77%
Human, handheld scans
76%
Human, cart-based scans
77%

Original publication

Artificial Intelligence Fully Automated Analysis of Handheld Echocardiography in Real-World Patients with Suspected Heart Failure. Eur J Heart Fail. Published 24 July 2025. doi:10.1002/ejhf.3783

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