Focused cardiac ultrasound (FoCUS) and Artificial Intelligence (AI) are transforming preventive cardiology, expanding beyond traditional approaches to detect and manage various cardiac conditions. Efforts in preventive cardiology have historically focused on atherosclerotic cardiovascular disease (ASCVD) but face challenges in risk prediction and individualized interventions. The integration of AI-assisted FoCUS offers a new approach to assess biological age as a risk factor and identify conditions such as valvular heart disease, occult atrial fibrillation, heart failure, and pulmonary hypertension.
Cardiovascular disease (CVD) remains a leading cause of morbidity and mortality globally, prompting the need for more effective prevention strategies. While current preventive efforts mainly target ASCVD, there is a growing recognition of the need to broaden the focus to include other cardiac conditions such as heart failure, valvular heart disease, and pulmonary hypertension. The application of FoCUS, a rapid and repeatable imaging tool, in combination with AI holds promise for early detection and risk assessment across various cardiac pathologies.
FoCUS, often used at the bedside or in outpatient settings, democratizes access to ultrasound technology and offers repeatability without radiation exposure concerns. Its versatility has led to widespread adoption in critical care and emergency settings. AI-assisted FoCUS further enhances image acquisition, interpretation, and reporting, revolutionizing cardiac imaging and diagnostic accuracy. The integration of AI into FoCUS streamlines workflows, improves patient outcomes, and raises the standard of care in cardiology.
AI-assisted FoCUS can play a crucial role in screening scenarios by assessing biological cardiac age, detecting valvular heart disease, screening for occult atrial fibrillation, identifying early heart failure, and diagnosing pulmonary hypertension. By leveraging AI algorithms to analyze echocardiographic data, clinicians can enhance risk stratification, improve diagnostic accuracy, and facilitate timely interventions for better patient outcomes. The use of AI in FoCUS presents a transformative potential for preventive cardiology and cardiovascular health care.
The future of preventive cardiology lies in the collaborative efforts of researchers, clinicians, and technology developers to address implementation challenges, standardize processes, and ensure accessibility in diverse healthcare settings. Prospective research is needed to evaluate the efficacy of AI-assisted FoCUS in clinical outcomes. As technology continues to evolve, embracing this comprehensive strategy will be essential to address the growing burden of cardiovascular diseases and improve public health.
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