Article | SEP 17, 2025
Cardiovascular disease is the leading cause of death in American Indian populations, occurring more often and at younger ages than in the general U.S. population. The true burden of structural heart disease (SHD) in these communities may be significantly underestimated.
Presented at ASE 2025, this study highlights how investigators partnered with tribal members to co-develop a culturally informed heart health program aimed at improving access to SHD care. The goal is to create a scalable model for other tribal nations and rural communities where barriers to diagnosis and care remain high.
A key innovation was the use of point-of-care screening echocardiography with AI-assisted interpretation (POCSE-AI), supported by a 14-image protocol and tailored training program for community health representatives. Training included online modules, a two-day hands-on workshop, and six months of mentored practice at community-based screening events.
CHRs advanced through the program by completing targeted competency assessments, including multiple-choice tests and evaluation of image acquisition and diagnostic quality. Final certification required passing a professional skills exam using a simulated patient encounter and submitting five qualifying studies.
This work represents an important first step toward sustainable, community-driven cardiac care models that can improve detection, treatment, and outcomes in underserved populations.