Valvular & structural heart disease

Prediction of Aortic Stenosis Progression Using Artificial Intelligence: A Machine Learning Model

JACC AdvPublished Retrospective cohort study

Authors' conclusion

Our novel, echocardiography-focused artificial intelligence model is a reliable tool for the early identification of patients at risk of progression to severe AS.

Study context

Population
Patients initially diagnosed with mild or moderate aortic stenosis (AS) on echocardiography, tertiary medical centre
Participants
9,330 echocardiograms
Outcome
Prediction of progression from mild/moderate AS to severe AS (accuracy, AUC-ROC, calibration)
Follow-up
Within 5 years
Methodological detailssingle-centre, cross-validation
  • Single-centre
  • Cross-validation

Main finding

As reported in the abstract

AI model prediction of progression to severe AS

AUC-ROC

0.91

Accuracy

83%

Integrated Calibration Index

0.0576

Observational data: associations, not effects.

Further findings

Progression to severe AS during follow-up

Patients who developed severe AS
1,625 (47%)

Original publication

Prediction of Aortic Stenosis Progression Using Artificial Intelligence: A Machine Learning Model. JACC Adv. Published 29 August 2025. doi:10.1016/j.jacadv.2025.102121

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

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