Does Electrocardiogram-Based Artificial Intelligence Detect Aortic Stenosis Solely Through Conventional Left Ventricular Hypertrophy Voltage Criteria? ― An Analysis of the Clinical Deep Data Accumulation System (CLIDAS) Database ―
Background: Aortic stenosis (AS) is a progressive valvular disease associated with poor prognosis once symptoms develop, yet routine echocardiographic screening is impractical. While artificial intelligence (AI)-based electrocardiogram (ECG) models have shown promise for AS detection, it remains unclear whether they primarily reflect conventional left ventricular hypertrophy (LVH) voltage criteria or capture additional ECG features.
Authors
- Hideo Fujita (ORCID: https://orcid.org/0000-0002-4901-3502)
- Shiho Wakasa (ORCID: https://orcid.org/0000-0002-2419-8192)
- Kenichi Tsujita (ORCID: https://orcid.org/0000-0002-4314-259X)
- Hisaki Makimoto (ORCID: https://orcid.org/0000-0002-5302-2874)
- Tomoyuki Kabutoya (ORCID: https://orcid.org/0000-0002-5439-4303)
- Hiroshi Okamura (ORCID: https://orcid.org/0000-0002-1133-8459)
- Tomoya Yanagishita
- Norihiko Takeda (ORCID: https://orcid.org/0000-0001-6501-6052)
- Yusuke Hayashi (ORCID: https://orcid.org/0000-0003-3822-829X)
- Yasutomi Higashikuni (ORCID: https://orcid.org/0000-0002-2232-567X)
- Shinnosuke Sawano (ORCID: https://orcid.org/0000-0002-9269-6038)
- Takahide Kohro (ORCID: https://orcid.org/0000-0002-8400-4177)
- Koichi Node (ORCID: https://orcid.org/0000-0002-2534-0939)
- Takenobu Shimada (ORCID: https://orcid.org/0000-0002-6300-9112)
- Satoshi Kodera (ORCID: https://orcid.org/0000-0003-2908-6875)
- Tetsuya Matoba (ORCID: https://orcid.org/0000-0003-4563-304X)
- Kenichiro Otsuka (ORCID: https://orcid.org/0000-0003-1359-3143)
- Atsushi Shibata (ORCID: https://orcid.org/0000-0001-9701-8730)
- Asahiro Ito (ORCID: https://orcid.org/0000-0003-4041-7460)
- Daiju Fukuda
- Osamu Yamaguchi (ORCID: https://orcid.org/0000-0002-7461-369X)
- Yasushi Imai (ORCID: https://orcid.org/0009-0007-5657-5398)
- Shinji Ito
- Ryozo Nagai (ORCID: https://orcid.org/0000-0002-0911-7868)
- JingChuan Guan (ORCID: https://orcid.org/0009-0003-4796-9046)
- Masaharu Nakayama
- Wataru Saitoh (ORCID: https://orcid.org/0009-0002-7803-3323)
- Hisahiko Sato
Institutions
- Kyushu University (JP)
- Jichi Medical University (JP)
- Saga University (JP)
- Tohoku University (JP)
- University of Tokyo Hospital (JP)
- Jichi Medical University Saitama Medical Center (JP)
- Ehime University (JP)
- Osaka Metropolitan University (JP)
- Kumamoto University (JP)
Publication Details
- Journal
- Circulation Reports
- Published
- 2026-10-26
- DOI
- https://doi.org/10.1253/circrep.cr-26-0209
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00