A Study Of Heart Disease Using AI-Enabled Electrocardiography And Focused Cardiac Ultrasound
Screening for Heart Disease Using AI-Enabled Electrocardiography and Focused Cardiac Ultrasound: the AI CVD Screen Study.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Amanda Priebe
- Phone Number: 507-422-6932
- Email: Priebe.Amanda@mayo.edu
Study Locations
-
-
Minnesota
-
Rochester, Minnesota, United States, 55905
- Recruiting
- Mayo Clinic in Rochester
-
Contact:
- Amanda Priebe
- Phone Number: 507-422-6932
- Email: Priebe.Amanda@mayo.edu
-
Principal Investigator:
- Paul Friedman, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Adolescents and young adults:
Inclusion Criteria:
- Enrollment in a high-school, college or a resident in MN during the study period
- Age 18-29 years
- Informed consent (and assent for minors)
Exclusion Criteria:
- Presence of a pacemaker or defibrillator
- Inability to obtain a quality ECG tracing
Community dwelling adults:
Inclusion Criteria:
• Adult patients (>30 years of age, with pre-specified subgroups 30-64 and 65+))
Exclusion Criteria:
• Inability to provide informed consent to participate in the study
Pregnant women:
Inclusion Criteria:
- Adult female aged 18 to 49 years
- Pregnant at the time of enrollment
- Receiving obstetric care at identified study site(s)
- Willing and able to provide informed consent
Exclusion Criteria:
• Inability to provide consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Pregnant women
|
Focused cardiac ultrasound will utilize sonography to evaluate specific cardiac conditions, such as ventricular function, pericardial effusion, and valvular abnormalities.
A 6-lead ECG uses six electrodes placed on the chest and limbs to record the heart's electrical activity from multiple perspectives.
A standard 12-lead ECG consists of 12 leads: 6 limb leads and 6 chest (precordial) leads.
These leads record the heart's electrical activity from different angles to provide a comprehensive assessment of cardiac function.
|
|
Experimental: Community dwelling adults
|
Focused cardiac ultrasound will utilize sonography to evaluate specific cardiac conditions, such as ventricular function, pericardial effusion, and valvular abnormalities.
A 6-lead ECG uses six electrodes placed on the chest and limbs to record the heart's electrical activity from multiple perspectives.
A standard 12-lead ECG consists of 12 leads: 6 limb leads and 6 chest (precordial) leads.
These leads record the heart's electrical activity from different angles to provide a comprehensive assessment of cardiac function.
|
|
Experimental: Adolescents and young adults
|
Focused cardiac ultrasound will utilize sonography to evaluate specific cardiac conditions, such as ventricular function, pericardial effusion, and valvular abnormalities.
A 6-lead ECG uses six electrodes placed on the chest and limbs to record the heart's electrical activity from multiple perspectives.
A standard 12-lead ECG consists of 12 leads: 6 limb leads and 6 chest (precordial) leads.
These leads record the heart's electrical activity from different angles to provide a comprehensive assessment of cardiac function.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of participants with positive AI-ECG findings confirmed by echocardiography (Adolescents and young adults)
Time Frame: Baseline
|
The percentage will be calculated as the number of participants whose AI-ECG results indicate a positive finding and are subsequently confirmed by echocardiography, divided by the total number of participants assessed, multiplied by 100.
|
Baseline
|
|
Number of patients with positive AI-ECG detection for left-right sided SHD (Community Dwelling Adults)
Time Frame: Baseline
|
Number of patients with positive AI-ECG detection for left-right sided SHD, defined as any of the following: LVEF <50%, >moderate right ventricular systolic dysfunction, >moderate aortic, mitral, or tricuspid valve regurgitation or stenosis, pulmonary hypertension (right ventricular systolic pressure > 50 mmHg), or elevated left-sided filling pressure.
|
Baseline
|
|
Number of times the AI-ECG provides a correct diagnosis of clinically significant cardiac disease (Pregnant women)
Time Frame: Baseline
|
Diagnostic performance of the AI-ECG will be determined by the accurate diagnosis of cardiomyopathy (left ventricular ejection fraction [LVEF] ≤50% or 10% or more decline in LVEF) or clinically significant structural heart disease (SHD; ≥ moderate right ventricular systolic dysfunction, ≥ moderate aortic, mitral, or tricuspid valve regurgitation or stenosis, pulmonary hypertension [right ventricular systolic pressure > 50 mmHg], or myocardial disease such as hypertrophic cardiomyopathy) in pregnant patients and those up to 6 weeks postpartum compared to standard of care.
|
Baseline
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of false positive AI-ECG Results (Adolescents and young adults)
Time Frame: Baseline
|
Number of false positive AI-ECG results will be determined by the number of positive AI-ECG results proven false from an echocardiography
|
Baseline
|
|
Number of positive AI-ECG results for hypertrophic cardiomyopathy (HCM) (Adolescents and young adults)
Time Frame: Baseline
|
The number of positive AI-ECG results for HCM will be based on how many patient ECGs indicate a possible diagnosis of HCM
|
Baseline
|
|
Number of positive AI-ECG results for congenital heart defect (CHD) (Adolescents and young adults)
Time Frame: Baseline
|
The number of positive AI-ECG results for CHD will be based on how many patient ECGs indicate a possible diagnosis of CHD
|
Baseline
|
|
Proportion of patients by age group to receive a diagnosis (Community Dwelling Adults)
Time Frame: Baseline
|
Proportion of patients by age group (30-39, 40-49, 50-65, 65-74, and 75 years and older) to receive a diagnosis from ultrasound that is confirmed by a comprehensive diagnostic work up.
|
Baseline
|
|
Proportion of total patients to receive a diagnosis based on screening with 6 lead ECG (Community Dwelling Adults)
Time Frame: Baseline
|
Proportion of total patients to receive a diagnosis based on screening with 6 lead ECG will be determined by the number of patients to have a correct diagnosis using the 6 lead ECG confirmed by echocardiogram compared to the total number of patients.
|
Baseline
|
|
Proportion of total patients to receive a diagnosis based on screening with 12 lead ECG (Community Dwelling Adults)
Time Frame: Baseline
|
Proportion of total patients to receive a diagnosis based on screening with 12 lead ECG will be determined by the number of patients to have a correct diagnosis using the 12 lead ECG confirmed by echocardiogram compared to the total number of patients.
|
Baseline
|
|
Proportion of total patients to receive a diagnosis based on screening with 12 lead only AI-ECG with adjunctive FoCUS (Community Dwelling Adults)
Time Frame: Baseline
|
Proportion of total patients to receive a diagnosis based on screening with 12 lead only AI-ECG with adjunctive FoCUS will be determined by the number of patients to have a correct diagnosis using the 12 lead ECG with adjunctive FoCUS confirmed by standard of care echocardiogram compared to the total number of patients.
|
Baseline
|
|
Proportion of total patients to receive a diagnosis based on screening with 12 lead only AI-ECG without adjunctive FoCUS (Community Dwelling Adults)
Time Frame: Baseline
|
Proportion of total patients to receive a diagnosis based on screening with 12 lead only AI-ECG without adjunctive FoCUS will be determined by the number of patients to have a correct diagnosis using the 12 lead ECG without adjunctive FoCUS confirmed by standard of care echocardiogram compared to the total number of patients.
|
Baseline
|
|
Number of non-cardiac adverse events (Pregnant Women)
Time Frame: Baseline
|
Number of non-cardiac adverse events can include hypertensive disorders of pregnancy (gestational hypertension, pre-eclampsia, eclampsia), preterm delivery, gestational diabetes, small for gestational age delivery, placental abruption, and pregnancy loss.
|
Baseline
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Paul Friedman, MD, Mayo Clinic
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 25-012252
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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