AI reads routine heart traces to uncover hidden valve and pump problems
NCT ID NCT07843004
First seen Sep 25, 2026 · Last updated Sep 25, 2026
Summary
Researchers are testing an AI tool called EchoNext that reads routine ECG heart traces to flag signs of structural heart disease, such as weak pumping, valve problems, or thickened heart muscle. The study enrolls adults 40 and older who get an ECG in the emergency department and have no known structural heart disease. When the tool spots something unusual, it alerts the doctor, who may then order a heart ultrasound or other follow-up. The trial measures whether this approach leads to more new diagnoses and more follow-up testing.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an AI software tool called EchoNext that analyzes routine ECG heart-rhythm readings to flag possible structural heart disease
- What this could lead to
- If it works, emergency doctors could catch weak heart pumping, valve problems, and other structural heart disease earlier, before they cause heart failure or stroke.
- What could go wrong
- The tool may raise false alarms that lead to unnecessary heart ultrasounds, or it may miss real problems. This study measures whether alerts change diagnosis and testing, not whether patients live longer or feel better.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 4,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2026
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 40 years of age or older * Received an ECG upon presentation to the Emergency Department Exclusion Criteria: * Had an echocardiogram within the prior 2 years. * Has a history of structural heart disease. * Not able to receive follow-up based on Community Tele-Paramedicine care manager review. * Quality of life will not improve over the next five years.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Columbia University Irving Medical Center / NewYork-Presbyterian
RECRUITINGNew York, New York, 10032, United States
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