Beyond Agreement: a real-world study of the workflow gap between echocardiography and timely structural cardiac assessmentHow a Validation Study Exposed a Hidden Gap in Cardiac Care
While a prospective study at Cascais Hospital demonstrated that the Cardio-HART (CHART) tool provides clinically credible agreement with echocardiography for left ventricular ejection fraction estimation and heart failure classification, its most significant contribution was revealing a critical, previously overlooked gap between the nominal availability of echocardiography and the timely delivery of structural cardiac assessment in routine care.