Heart failure & cardiomyopathies

Deep Learning–Enabled Assessment of Left Heart Structure and Function Predicts Cardiovascular Outcomes

J Am Coll CardiolPublished Retrospective cohort study

Authors' conclusion

Deep learning echocardiographic interpretation accurately quantified standard measures of left heart structure and function, which in turn were associated with future clinical outcomes.

Study context

Population
Ambulatory cardiology and primary care patients with echocardiograms64,028 echocardiograms (training)
Participants
27,135 participants
Outcome
Deep learning view classification and left heart quantification; association with incident outcomes
Methodological detailsmulti-institutional, external validation
  • Multi-institutional
  • External validation

Main finding

As reported in the abstract

View discrimination (PLAX, apical 4- and 2-chamber) vs human expert annotation, AUC

>0.97

Standard left heart measures vs study report values, R2 range

0.53 to 0.91

1-SD lower model-LVEF and HF, HR

1.43

95% CI 1.23–1.66

1-SD lower model-LVEF and death, HR

1.17

95% CI 1.06–1.30

Observational data: associations, not effects.

Further findings

Other model-derived left heart measures

Model-derived measures predicted incident HF, AF, MI and death; similar results for other measures

Original publication

Deep Learning–Enabled Assessment of Left Heart Structure and Function Predicts Cardiovascular Outcomes. J Am Coll Cardiol. Published 14 November 2023. doi:10.1016/j.jacc.2023.09.800

Composed by AI from the published abstract and checked against it. How Briefs are made →

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