ATTR Amyloidosis With Cardiomyopathy, Heart Failure
Conditions
Keywords
Transthyretin Amyloid Cardiomyopathy (ATTR-CM), Artificial Intelligence Screening, AI-ECG, AI-Echo, Electrocardiogram, Technetium-99m Pyrophosphate (Tc99m-PYP) Scintigraphy, Machine Learning in Cardiology, Validation of AI Diagnostic Tools, Cardiomyopathy Screening, Early Detection of Cardiac Amyloidosis
Brief summary
The TRACE-AI Diagnostic Study will evaluate the performance of artificial intelligence (AI) models applied to electrocardiograms (AI-ECG) and echocardiograms (AI-Echo) to identify transthyretin amyloid cardiomyopathy (ATTR-CM) in adults with heart failure. Model performance will be validated through comparison with technetium-99m pyrophosphate (PYP) imaging results.
Interventions
AI-based sequential screening approach for ATTR-CM
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients 18 years or older with at least one of each component cardiovascular diagnosis testing (ECG and Echo) in the YNHHS. * Patients with a diagnosis of HFpEF or HFmrEF * Participant from Phase I TRACE-AI Study with AI-ECG and AI-Echo screen in the preceding 36 months
Exclusion criteria
* Patients who have opted out of research studies * Patients with cardiac amyloid diagnostic test in the past 36 months * Patients with hypertrophic cardiomyopathy or end-stage renal disease * Pregnant women * Patients unable or unwilling to provide informed consent * Non-English speakers and cognitively impaired individuals who are unable to comprehend the consent and the on-screen instructions on the application, which are in English.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Performance of the sequential screening approach | From enrollment through completion of PYP scan at baseline study visit | Measured by the positive predictive value (PPV) of the test for ATTR-CM, based on confirmatory imaging and clinical testing |
Countries
United States
Contacts
Yale University