About this trial
A study to evaluate feasibility, diagnostic yield, accuracy, and actionable thresholds of POC, immediate-feedback AI-ECG + AI FoCUS screening for cardiac disease in well described community populations.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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)
Disqualifiers
Presence of a pacemaker or defibrillator
Inability to obtain a quality ECG tracing
Adult female aged 18 to 49 years
Pregnant at the time of enrollment
Trial design
Single group
Treatments tested in this trial
Focused Cardiac Ultrasound
Diagnostic testFocused cardiac ultrasound will utilize sonography to evaluate specific cardiac conditions, such as ventricular function, pericardial effusion, and valvular abnormalities.
6-Lead AI-ECG
Diagnostic testA 6-lead ECG uses six electrodes placed on the chest and limbs to record the heart's electrical activity from multiple perspectives.
12-Lead AI-ECG
Diagnostic testA 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.
Treatment groups
Trial outcomes
Primary outcomes
Percentage of participants with positive AI-ECG findings confirmed by echocardiography (Adolescents and young adults)
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.
Number of patients with positive AI-ECG detection for left-right sided SHD (Community Dwelling Adults)
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.
Number of times the AI-ECG provides a correct diagnosis of clinically significant cardiac disease (Pregnant women)
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.
Secondary outcomes
Number of false positive AI-ECG Results (Adolescents and young adults)
Number of false positive AI-ECG results will be determined by the number of positive AI-ECG results proven false from an echocardiography
Number of positive AI-ECG results for hypertrophic cardiomyopathy (HCM) (Adolescents and young adults)
The number of positive AI-ECG results for HCM will be based on how many patient ECGs indicate a possible diagnosis of HCM
Number of positive AI-ECG results for congenital heart defect (CHD) (Adolescents and young adults)
The number of positive AI-ECG results for CHD will be based on how many patient ECGs indicate a possible diagnosis of CHD
Proportion of patients by age group to receive a diagnosis (Community Dwelling Adults)
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.
Sponsors and contacts
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