Heart failure & cardiomyopathiesDiagnostic or prognostic study

Noninvasive Pulmonary Capillary Wedge Pressure Estimation in Heart Failure Patients With the Use of Wearable Sensing and AI

JACC Heart FailPublished

  • Diagnostic accuracy study
  • multicentre
  • prospective
  • blinded core laboratory
  • held-out test set

Authors' conclusion

The CardioTag and its ML algorithm estimate PCWP with accuracy approaching implantable hemodynamic sensors

Study context

Population
Inpatients and outpatients with heart failure with reduced ejection fraction (HFrEF) (EF ≤40%)
Participants
310 inpatients
Comparison
Wearable sensor + machine learning (ML) model vs RHC for pulmonary capillary wedge pressure (PCWP) estimation
Outcome
Error of PCWP estimate vs RHC

Performance

As reported in the abstract

PCWP estimation error vs RHC (held-out test set)

Error of model-estimated PCWP

1.04 ± 5.57 mm Hg

Limits of agreement

−9.9 to 11.9 mm Hg

Original publication

Noninvasive Pulmonary Capillary Wedge Pressure Estimation in Heart Failure Patients With the Use of Wearable Sensing and AI. JACC Heart Fail. Published 20 June 2025. doi:10.1016/j.jchf.2025.102513

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