Valvular & structural heart disease

Wearable SENsor to Diagnose and Assess SEverity of Aortic Stenosis (SENSE-AS)): A Proof-of-Concept Study

JACC AdvPublished prospective, single-center case-control study

Authors' conclusion

A chest-worn multimodal wearable sensor accurately measures AV AT and predicts AV Vmax, supporting the feasibility of accessible, lower-cost tools for early detection and longitudinal monitoring of AS.

Study context

Population
Subjects with severe, moderate, and mild aortic stenosis (AS) according to echocardiography guidelines, and controls without ASsubjects enrolled
Participants
40 subjects
Comparison
Sensor-derived acceleration time (AT) vs Doppler-derived aortic valve acceleration time
  • Severen = 10
  • Moderaten = 10
  • Mildn = 10
  • Controlsn = 10
Outcome
Correlation between Doppler-derived AV AT and sensor-derived AT
Methodological detailscontrols age- and sex-matched to the severe AS cohort
  • Controls age- and sex-matched to the severe AS cohort

Main finding

As reported in the abstract

R

0.85; 95% CI: 0.73-0.92

P < 0.001

Observational data: associations, not effects.

Secondary outcomes

AT by group

Progressively longer AT from controls through increasing AS severities
P < 0.01

Machine learning model predictions on unseen patient data vs aortic valve (AV) Vmax

R
0.76; 95% CI: 0.68-0.83; P < 0.001
  • Model trained on a limited subset of AS patient recordings (n = 32)

Baseline characteristics

Mean age across groups
77.8 years
Female
55% (n = 22)

Original publication

Wearable SENsor to Diagnose and Assess SEverity of Aortic Stenosis (SENSE-AS)): A Proof-of-Concept Study. JACC Adv. Published 16 March 2026. doi:10.1016/j.jacadv.2026.102699

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