Artificial Intelligence Stress Echo (FINESSE) Project
NCT07432620 · Status: ACTIVE_NOT_RECRUITING · Type: OBSERVATIONAL · Enrollment: 2281
Last updated 2026-02-25
Summary
The goal of this observational study is to learn whether combining stress echocardiography (stress echo) results with routine clinical information can better predict important heart outcomes in adults (18+) with chest pain who were assessed for suspected coronary artery disease.
The main questions it aims to answer are:
Can an artificial intelligence / machine learning model using stress echo findings plus clinical factors (such as blood pressure, diabetes, smoking, other health conditions, medications, and body measurements) predict major heart-related events (such as heart attack, stroke, death related to heart disease, or the need for coronary procedures) more accurately than stress echo results alone?
Can the model help identify which patients are most likely to benefit from further invasive assessment and possible coronary revascularisation (for example, a stent or bypass surgery)?
Which combination of stress echo measurements and clinical factors contributes most to risk prediction?
Participants will:
Not be asked to attend extra visits or have additional tests for this study.
Have their existing stress echo reports and routinely collected hospital record data analysed (approximately 3,000 people who previously had dobutamine stress echo at Milton Keynes University Hospital).
In some cases, if outcomes are not fully available from hospital records, the research team may check additional sources (such as GP records, or contacting the patient if appropriate) to confirm whether a major heart-related event occurred.
Conditions
- Coronary Artery Disease
- Chest Pain
- Myocardial Ischemia
- Angina Pectoris
- Myocardial Infarction (MI)
Interventions
- DIAGNOSTIC_TEST
-
Dobutamine Stress Echocardiography
Clinically indicated dobutamine stress echocardiography performed as part of routine care for assessment of suspected coronary artery disease/chest pain. Echocardiographic images acquired at rest and during incremental dobutamine stress (with recovery imaging) are interpreted for inducible ischaemia and regional wall motion abnormalities (including wall motion scoring). Contrast enhancement may be used where needed to optimise endocardial border definition. For this observational study, no additional tests or procedures are performed beyond standard clinical practice; existing stress echocardiography reports and associated routine clinical data are analysed retrospectively.
Sponsors & Collaborators
-
Milton Keynes University Hospital NHS Foundation Trust
lead OTHER_GOV
Principal Investigators
-
Attila Kardos, MD, PhD, FRCP, FESC · Milton Keynes University Hospital NHS Foundation Trust
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-06-07
- Primary Completion
- 2023-11-04
- Completion
- 2028-10-31
Countries
- United Kingdom
Study Locations
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