Valvular & structural heart disease

Automatic Diagnosis of Left Valvular Heart Disease Based on Artificial Intelligence Stethoscope

JACC AdvPublished Diagnostic accuracy study

Authors' conclusion

Artificial intelligence-based stethoscope is capable of diagnosing left-sided VHD accurately and may make routine screening for VHD more practical.

Study context

Population
Patients assessed for left-sided valvular heart disease (aortic stenosis, aortic regurgitation, mitral stenosis, mitral regurgitation)
Participants
514 patients
Comparison
AI-based stethoscope model vs echocardiography
  • Trainingn = 304
  • Testingn = 210
Outcome
AUC of the model for detecting left-sided valvular heart disease, against echocardiography
Methodological detailsderivation and testing groups
  • Derivation and testing groups

Performance

As reported in the abstract

Left-sided VHD detection (vs echocardiography)
Test or modelSensitivitySpecificityAUC
Testing70.00%73.68%0.7554

Testing

Sensitivity70.00%
Specificity73.68%
AUC0.7554

Further findings

Diagnostic performance of ML model by lesion (model development)

Aortic stenosis AUC
0.7621
Aortic regurgitation AUC
0.7075
Mitral stenosis AUC
0.6426
Mitral regurgitation AUC
0.7906
Left-sided valvular heart disease (VHD) AUC
0.8541
Left-sided VHD sensitivity
83.07%
Left-sided VHD specificity
78.26%

Original publication

Automatic Diagnosis of Left Valvular Heart Disease Based on Artificial Intelligence Stethoscope. JACC Adv. Published 20 August 2025. doi:10.1016/j.jacadv.2025.101993

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