Aortic Stenosis
Conditions
Keywords
aortic stenosis, artificial intelligence
Brief summary
This study will evaluate the validity of a digital biomarker score for precision risk stratification among older adults with aortic sclerosis or mild aortic stenosis (AS) at three US health systems.
Interventions
All study participants will undergo a clinical transthoracic echocardiogram (TTE) performed by certified echocardiography technicians. The TTE includes standard transthoracic examination with acquisition of B-mode, color and spectral Doppler images and videos in line with standard echocardiographic guidelines.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 65 years or older 2. Prior transthoracic echocardiogram within the past 2-3 years showing aortic sclerosis without stenosis or mild AS
Exclusion criteria
1. Opted out of research studies 2. Non-English speaking 3. Any echocardiogram within 24 months of medical record review. 4. Prior history of aortic valve replacement or repair, including transcatheter and surgical AVR with either a bioprosthetic or mechanical valve 5. Presence of implantable cardiac devices, including permanent cardiac pacer, implantable cardioverter-defibrillator, or left ventricular assist device 6. Prior heart transplant 7. History of dementia 8. Unable to attend study visit at echocardiogram lab within four years of most recent echocardiogram. 9. Documented life expectancy of \<1 year or current participation in hospice services
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Annualized change in AV Vmax in m/sec/years | From baseline TTE to TTE performed at enrollment | The primary outcome measure is the annualized change in AV Vmax in m/sec/years, defined as the absolute difference between the value on the enrollment and baseline echocardiogram measurement, divided by the time difference between the studies. |
Countries
United States
Contacts
Yale University