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AI could help detect hidden heart failure earlier

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Heart failure is a serious condition that affects millions of people around the world. It happens when the heart cannot pump blood as well as it should. In its advanced stage, the condition becomes life-threatening and requires careful treatment.

However, one of the biggest problems doctors face is that advanced heart failure is often hard to detect early. Many patients are not diagnosed in time, which means they miss the chance to receive the care they need.

A new study suggests that artificial intelligence, also known as AI, could change this situation. Researchers have found a new way to use AI to help identify patients with advanced heart failure more easily and more quickly.

The study was led by scientists from Weill Cornell Medicine, Cornell Tech, Columbia University, and NewYork-Presbyterian, and the findings were published on March 3 in the journal npj Digital Medicine.

At present, doctors rely on a test called cardiopulmonary exercise testing, or CPET, to diagnose advanced heart failure. This test measures how well the heart and lungs work together during exercise. It is considered the gold standard for detecting severe heart problems.

However, CPET requires special equipment and trained staff, and it is usually only available in large hospitals. Because of this, many patients never get tested. In the United States alone, it is estimated that around 200,000 people have advanced heart failure, but only a small number receive proper diagnosis and treatment.

The new study offers a possible solution to this problem. Instead of relying on complex exercise testing, the researchers developed an AI system that can analyze heart ultrasound images along with basic medical records.

Heart ultrasound, also known as echocardiography, is a common and widely available test. It uses sound waves to create moving images of the heart and helps doctors see how the heart is working.

The AI system was designed to predict an important measure called peak oxygen consumption, or peak VO2. This value shows how well the body uses oxygen during exercise and is a key indicator of heart function. Normally, peak VO2 can only be measured through CPET, but the new AI model can estimate it using simpler data.

To build this system, the researchers trained the AI model using data from 1,000 patients with heart failure. The data included ultrasound videos, images of blood flow and heart valve movement, and information from electronic health records. After training, the model was tested on a new group of 127 patients from different hospitals.

The results were very encouraging. The AI system was able to predict high-risk patients with about 85 percent accuracy. This level of accuracy suggests that the method could be useful in real clinical settings. It means that doctors may be able to identify patients with advanced heart failure without needing complex and expensive tests.

Dr. Fei Wang, one of the senior authors of the study, explained that this approach uses information that is already available in routine care. This makes it much easier to apply in everyday medical practice.

Another researcher, Dr. Nir Uriel, said that if this method can identify patients who are currently missed, it could greatly improve patient care and outcomes.

This research is part of a larger effort to use AI in heart disease care. In recent years, AI has shown great promise in medicine. It can find patterns in large amounts of data that are difficult for humans to see. By working closely with doctors, AI experts are developing tools that can support decision-making and improve diagnosis.

The study also highlights the importance of collaboration. More than 40 heart specialists worked together with AI researchers to identify the best way to use this technology. This teamwork helped create a system that is both scientifically advanced and clinically useful.

While the results are promising, more work is needed before this method can be used widely. The researchers are planning further clinical studies. These studies will help confirm the results and are necessary for approval by health authorities before the technology can be used in hospitals.

In reviewing these findings, the study shows clear strengths. It uses real patient data and focuses on a practical problem in healthcare. The high accuracy of the model is also encouraging. However, there are also limitations.

The study tested a relatively small number of patients in the final stage, and more testing in larger and more diverse groups is needed. In addition, AI systems must be carefully checked to ensure they are reliable and safe for all patients.

Overall, this research represents an important step forward. It suggests that AI could help doctors detect advanced heart failure earlier and more easily. If future studies confirm these results, this approach could improve care for many patients and help save lives.

If you care about heart disease, please read studies that herbal supplements could harm your heart rhythm, and how eating eggs can help reduce heart disease risk.

For more health information, please see recent studies that apple juice could benefit your heart health, and results showing yogurt may help lower the death risks in heart disease.

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