Valvular & structural heart disease

Use of artificial intelligence‐guided echocardiography to detect cardiac dysfunction and heart valve disease in rural and remote areas: Rationale and design of the AGILE‐echo trial

Am Heart JPublished Rationale and design of a randomised controlled trial

Authors' conclusion

This randomized-controlled trial of AI-TTE will provide proof-of-concept for the role of AI-TTE in identifying pre-symptomatic HF or HVD when access to TTE is limited.

Study context

Population
Adults with CV risk factors and exercise intolerance, or concerns regarding heart valve disease, in rural and remote Australiafirst participants enrolled
Participants
157 adults
Comparison
AI-guided TTE vs usual care
  • AI-TTEn = 78
  • Usual care (UC)n = 79reference
Primary endpoint
Composite of:
  • Heart valve disease
  • Heart failure (HF) diagnosis
Follow-up
12 months
Methodological details5 rural and remote areas, Australia, Subgroup analysis stratified by age range and sex planned
  • 5 rural and remote areas, Australia
  • Subgroup analysis stratified by age range and sex planned

Primary result

As reported in the abstract

Baseline characteristics of first 157 participants

Baseline characteristics of first 157 participants

10-year HF incidence risk AI-TTE 20.0% · UC 13.4% · P = 0.089

  • AI-TTE vs UC: P = 0.034 — age
Heart valve disease as primary concern
37 (23.6%)
Exercise intolerance
84.7% (n = 133)
No abnormalities
33 (42.3%)

Original publication

Use of artificial intelligence‐guided echocardiography to detect cardiac dysfunction and heart valve disease in rural and remote areas: Rationale and design of the AGILE‐echo trial. Am Heart J. Published 10 August 2024. doi:10.1016/j.ahj.2024.08.004

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