Half of heart attacks occur in patients told they are not at risk
New NHS pilot schemes using artificial intelligence have revealed that almost half of at-risk patients are being missed by standard diagnostic tests.
Early findings from pilot schemes at five NHS trusts shows almost half of patients had their treatment plans changed after their scans were reassessed using the new technology - with far more being put on statins.
Prof Simon Ray, Britain's top heart doctor, said the new AI tool, which assesses standard heart scans, could be 'a complete game-changer'. The NHS chief added that the use of 'incredibly clever scans' could find warning signs that were otherwise undetectable and 'turbocharge' efforts to save lives.
Research found the technology can reduce fatal heart attacks by 12 per cent – and cut other serious events like strokes and heart failure by nearly a third.
Every year, around 300,000 people in the UK undergo coronary CT scans after suffering problems such as chest pains or breathlessness. Around 80 per cent are told there's little or nothing to worry about.
But in the years that follow, two-thirds of heart attacks happen in that same group, research has found.
Now, the new technology is offering a clearer picture.
The AI tool, developed by medics from Oxford, can spot dangerous inflammation in the fat around the arteries – something invisible to the human eye.
Cardiologists said far too many patients were currently being 'wrongly reassured' that they had no problem, after being referred for scans because of cardiac symptoms.
The AI analysis was able to identify far more patients who could benefit from treatments such as statins, and to pick out those who needed a higher dose, or other forms of treatment.
Medics said that patients were also far more likely to take their tablets, or make necessary lifestyle changes, after seeing their risk of a fatal cardiac risk, backed by images showing the inflammation around the arteries.
The technology was developed by Oxford spinout company Caristo Diagnostics, co-founded by Prof Charalambos Antoniades, the University of Oxford chair of cardiovascular medicine, with grant funding from the British Heart Foundation.
Prof Antoniades said the impact of the breakthrough could be 'massive' given that most heart attacks come from patients who have undergone scans, only to be told they have little to worry about.
The leading cardiologist said: 'Two thirds of the heart attacks happen among those 80 per cent of people who have been reassured'.
He said: 'Every year, around 300,000 patients are having coronary CT scans; we are finding that approximately 45 per cent of the individuals that have these scans today in the NHS are being under-treated, and underdiagnosed; they are being reassured wrongly that they have no problem, and essentially they are discharged.
'These are exactly the patients that we identify; and we guide them towards preventive treatments so that we we can reduce risk.'
The new tool, which analyses conventional scans, at a cost of around £270 per case, is able to detect far more subtle changes in the fat around the coronary arteries, which result in plaque rupture and heart attacks.
Pilot schemes at Oxford University Hospitals NHS Foundation trust, Liverpool Heart and Chest Hospitals NHS Foundation trust, University Hospitals of Leicester NHS Trust, Milton Keynes University Hospital NHS Foundation trust and Royal Wolverhampton NHS trust, funded by NHS England, have now assessed 1425 scans, using the 'CaRI-Heart' AI analysis.
Patients who were shown the detailed images were also far more likely to comply with treatment regimes, and to overhaul their lifestyles, medics found.
Heart disease is the one of the biggest killers in the UK, with one in eight men and one in 14 women dying from coronary heart disease.
Analysis suggests that using the technology in 300,000 patients a year would prevent almost 5,760 heart attacks, 7,740 cardiac deaths, 4080 heart failures and 1,320 strokes; meaning almost 19,000 cardiovascular events prevented in total.
Prof Ray, NHS national clinical director for heart disease, said: ' Heart disease is one of our biggest killers and this new tool could be a complete game-changer based on its early findings – using incredibly clever scans to spot inflammation in the arteries that was previously undetectable and helping turbocharge NHS efforts on prevention.
'By using technology like AI to support clinicians and enhance the care our expert teams can offer, we can help more people lead healthier lives and potentially prevent thousands of serious health incidents like heart attacks and strokes, which is fantastic for patients and their families and vital for the NHS as we move from treatment to prevention as part of the 10 Year Health Plan.'
'Traffic light' assessment system
Dr Tim Fairbairn, a cardiologist at Liverpool Heart and Chest Hospital, said the technology could provide medics with a simple 'traffic light' assessment of risk, informing decisions about medications and lifestyle.
'This a patient group which is already being investigated for coronary artery disease – so its patients with chest pains, angina, breathlessness; this is about preventing future events such as heart attacks.'
The leading medic said the NHS was good at dealing with patients with the most obvious signs of blocked arteries but struggled to identify the vast majority of patients at increased risk.
Dr Fairburn said: 'A lot of the rest will be told you're fine, don't worry and that can mean they don't change their diet, they carry on smoking, they don't increase their exercise. We need to be more aggressive about treating these cases and helping people to change their lifestyles.'
The new technology can spot details on scans which cannot be seen by the human eye, in an assessment which also takes account of other clinical data, such as cholesterol levels.
The cardiologist said the pilot NHS schemes has shown the technology could dramatically change not just the decisions being made by doctors, but also by patients.
The National Institute for Health and Care Excellence is currently evaluating the new technology, meaning it could be rolled out far more widely.
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Click to share on X/Twitter (Opens in new window) Click to share on Facebook (Opens in new window) A MOTHER has revealed that she lost seven stone without using Mounjaro. According to Lucy, instead of injecting herself with fat jabs, she swears by three very simple and straightforward things to slim down and tone up. 2 A savvy mum has shared the three healthy habits she followed which enabled her to lose seven stone Credit: TikTok/@lucy52915 2 Instead of using Mounjaro, Lucy, who is from the UK, swears by eating right and exercising to tone up Credit: TikTok/@lucy52915 Posting on social media, the mum, who is from the UK, gave her followers a before and after look at her weight loss, leaving many totally stunned. Rather than forking out the cash and travelling abroad for weight loss surgery, this mother swears by eating right and exercising to get a body of dreams. 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According to this content creator, who believes strongly in being consistent, if you want to feel your best and lose weight, lifting weights is key. I'm a 'former fatty' who lost 12 stone WITHOUT jabs - being slim means I don't have to eat in the car to avoid judgement This mother confirmed that she goes to the gym four times a week and does two glute focused sessions, one catered to full body exercises and another on her upper body. After putting the effort in, less than a year since kicking off her health and fitness journey, Lucy has now reached her goal weight and doesn't want to lose any more. The NHS 12-step plan to help you lose weight FROM faddy diets to dodgy detoxes - most of us have heard it all before when it comes to weight loss. But burning fat can be easy and mostly free. In fact, the NHS has a whole load of medically-approved tips for weight loss and shedding body fat once and for all... Don't skip breakfast Skipping breakfast will not help you lose weight. You could miss out on essential nutrients and you may end up snacking more throughout the day because you feel hungry. Eat regular meals Eating at regular times during the day helps burn calories at a faster rate. It also reduces the temptation to snack on foods high in fat and sugar. Eat plenty of fruit and veg Fruit and veg are low in calories and fat, and high in fibre – 3 essential ingredients for successful weight loss. They also contain plenty of vitamins and minerals. Get more active Being active is key to losing weight and keeping it off. As well as providing lots of health benefits, exercise can help burn off the excess calories you cannot lose through diet alone. Drink lots of water People sometimes confuse thirst with hunger. You can end up consuming extra calories when a glass of water is really what you need. Eat high fibre foods Foods containing lots of fibre can help keep you feeling full, which is perfect for losing weight. Fibre is only found in food from plants, such as fruit and veg, oats, wholegrain bread, brown rice and pasta, and beans, peas and lentils. Read food labels Knowing how to read food labels can help you choose healthier options. Use the calorie information to work out how a particular food fits into your daily calorie allowance on the weight loss plan. Use a smaller plate Using smaller plates can help you eat smaller portions. By using smaller plates and bowls, you may be able to gradually get used to eating smaller portions without going hungry. It takes about 20 minutes for the stomach to tell the brain it's full, so eat slowly and stop eating before you feel full. Don't ban foods Do not ban any foods from your weight loss plan, especially the ones you like. Banning foods will only make you crave them more. There's no reason you cannot enjoy the occasional treat as long as you stay within your daily calorie allowance. Don't stock junk food To avoid temptation, do not stock junk food – such as chocolate, biscuits, crisps and sweet fizzy drinks – at home. Instead, opt for healthy snacks, such as fruit, unsalted rice cakes, oat cakes, unsalted or unsweetened popcorn, and fruit juice. Cut down on alcohol A standard glass of wine can contain as many calories as a piece of chocolate. Over time, drinking too much can easily contribute to weight gain. Plan your meals Try to plan your breakfast, lunch, dinner and snacks for the week, making sure you stick to your calorie allowance. You may find it helpful to make a weekly shopping list. Social media users gush Her TikTok clip, which was posted under the username @lucy52915, has clearly impressed many, as it has quickly racked up 844,000 views, 21,600 likes and 1,169 comments. Social media users were gobsmacked by Lucy's weight loss and many eagerly flocked to the comments to express this. Wow!! You look like a younger version of Jennifer Aniston now. 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By reducing sugar intake, you can help stabilize blood sugar and insulin levels, making it easier for your body to burn fat. Decreased Cravings: Sugar can be addictive and lead to cravings for more sugary foods. By cutting it out, you may find that your cravings for unhealthy, high-calorie foods decrease, making it easier to stick to a healthier diet. Improved Satiety: Foods high in sugar are often low in fiber and protein, which are essential for feeling full and satisfied. By replacing sugary foods with more nutrient-dense options like fruits, vegetables, lean proteins, and whole grains, you can increase your satiety and reduce overall calorie consumption. Better Nutrient Intake: When you cut out sugary foods, you often make room for more nutritious foods. This can improve your overall diet quality, providing your body with the vitamins and minerals it needs to function optimally, which can support weight loss efforts. Reduced Fat Storage: High sugar intake, particularly from fructose, can lead to increased fat production in the liver, contributing to weight gain and obesity. Cutting out sugar helps to reduce this effect. Enhanced Metabolism: Reducing sugar can improve metabolic health, including better insulin sensitivity and lower risk of metabolic syndrome, which can facilitate weight loss. By cutting out sugar and replacing it with healthier options, you can create a more balanced and sustainable diet that supports weight loss and overall well-being. A third commented: 'Wow you look amazing!! Well done.' At the same time, one user gushed: 'Wow!! You look like a younger version of Jennifer Aniston now. Very well done.' Meanwhile, someone else gasped: 'If that's the same person fair play.' To this, Lucy wrote back and confirmed: 'Yep it's me.' Unlock even more award-winning articles as The Sun launches brand new membership programme - Sun Club
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I lost seven stone WITHOUT Mounjaro – here's three very simple things I've done that have helped me slim down & tone up
A MOTHER has revealed that she lost seven stone without using Mounjaro. According to Lucy, instead of injecting herself with fat jabs, she swears by three very simple and straightforward things to slim down and tone up. 2 2 Posting on social media, the mum, who is from the UK, gave her followers a before and after look at her weight loss, leaving many totally stunned. Rather than forking out the cash and travelling abroad for weight loss surgery, this mother swears by eating right and exercising to get a body of dreams. And not only does she look incredible, but people are struggling to believe she is the same person as the woman in her 'before' photos. The stunner, who has slimmed down and is now '7 stone lighter' attributes her weight loss to three healthy habits - eating in a calorie deficit, walking and weight lifting. Lucy explained that she is breastfeeding, so isn't able to use Mounjaro. As a result, she took matters into her own hands on a mission to slim down and when it comes to her diet, rather than eating nothing but fruit and vegetables, she swears by a big focus on protein. She confirmed that she consumes 180g of protein every day, as well as 27g to 30g of fiber. When it comes to walking, the savvy mum stressed the importance of doing 10,000 steps every single day, which she has been doing since 1st September 2024. And when she's not walking, she's exercising in the gym. According to this content creator, who believes strongly in being consistent, if you want to feel your best and lose weight, lifting weights is key. I'm a 'former fatty' who lost 12 stone WITHOUT jabs - being slim means I don't have to eat in the car to avoid judgement This mother confirmed that she goes to the gym four times a week and does two glute focused sessions, one catered to full body exercises and another on her upper body. After putting the effort in, less than a year since kicking off her health and fitness journey, Lucy has now reached her goal weight and doesn't want to lose any more. The NHS 12-step plan to help you lose weight FROM faddy diets to dodgy detoxes - most of us have heard it all before when it comes to weight loss. But burning fat can be easy and mostly free. In fact, the NHS has a whole load of medically-approved tips for weight loss and shedding body fat once and for all... Don't skip breakfast Skipping breakfast will not help you lose weight. You could miss out on essential nutrients and you may end up snacking more throughout the day because you feel hungry. Eat regular meals Eating at regular times during the day helps burn calories at a faster rate. It also reduces the temptation to snack on foods high in fat and sugar. Eat plenty of fruit and veg Fruit and veg are low in calories and fat, and high in fibre – 3 essential ingredients for successful weight loss. They also contain plenty of vitamins and minerals. Get more active Being active is key to losing weight and keeping it off. As well as providing lots of health benefits, exercise can help burn off the excess calories you cannot lose through diet alone. Drink lots of water People sometimes confuse thirst with hunger. You can end up consuming extra calories when a glass of water is really what you need. Eat high fibre foods Foods containing lots of fibre can help keep you feeling full, which is perfect for losing weight. Fibre is only found in food from plants, such as fruit and veg, oats, wholegrain bread, brown rice and pasta, and beans, peas and lentils. Read food labels Knowing how to read food labels can help you choose healthier options. Use the calorie information to work out how a particular food fits into your daily calorie allowance on the weight loss plan. Use a smaller plate Using smaller plates can help you eat smaller portions. By using smaller plates and bowls, you may be able to gradually get used to eating smaller portions without going hungry. It takes about 20 minutes for the stomach to tell the brain it's full, so eat slowly and stop eating before you feel full. Don't ban foods Do not ban any foods from your weight loss plan, especially the ones you like. Banning foods will only make you crave them more. There's no reason you cannot enjoy the occasional treat as long as you stay within your daily calorie allowance. Don't stock junk food To avoid temptation, do not stock junk food – such as chocolate, biscuits, crisps and sweet fizzy drinks – at home. Instead, opt for healthy snacks, such as fruit, unsalted rice cakes, oat cakes, unsalted or unsweetened popcorn, and fruit juice. Cut down on alcohol A standard glass of wine can contain as many calories as a piece of chocolate. Over time, drinking too much can easily contribute to weight gain. Plan your meals Try to plan your breakfast, lunch, dinner and snacks for the week, making sure you stick to your calorie allowance. You may find it helpful to make a weekly shopping list. Social media users gush Her TikTok clip, which was posted under the username @ lucy52915, has clearly impressed many, as it has quickly racked up 844,000 views, 21,600 likes and 1,169 comments. Social media users were gobsmacked by Lucy's weight loss and many eagerly flocked to the comments to express this. One person said: 'You can tell this is natural too. No Mounjaro and excuses here! Well done for creating new habits and not cheating. This will set you up for life.' Another added: 'That is an amazing achievement. You should be so proud of yourself.' How cutting out sugar can help you lose weight It might sound obvious, but cutting out sugar can help you lose weight - and this is why Reduced alorie intake: Sugar is calorie-dense but not nutrient-dense, meaning it provides a lot of calories without making you feel full. By cutting out sugar, you naturally reduce your overall caloric intake, which can create a calorie deficit and lead to weight loss. Lower Insulin Levels: Consuming sugar, especially in large amounts, causes spikes in blood sugar levels, leading to increased insulin production. Insulin is a hormone that promotes fat storage. By reducing sugar intake, you can help stabilize blood sugar and insulin levels, making it easier for your body to burn fat. Decreased Cravings: Sugar can be addictive and lead to cravings for more sugary foods. By cutting it out, you may find that your cravings for unhealthy, high-calorie foods decrease, making it easier to stick to a healthier diet. Improved Satiety: Foods high in sugar are often low in fiber and protein, which are essential for feeling full and satisfied. By replacing sugary foods with more nutrient-dense options like fruits, vegetables, lean proteins, and whole grains, you can increase your satiety and reduce overall calorie consumption. Better Nutrient Intake: When you cut out sugary foods, you often make room for more nutritious foods. This can improve your overall diet quality, providing your body with the vitamins and minerals it needs to function optimally, which can support weight loss efforts. Reduced Fat Storage: High sugar intake, particularly from fructose, can lead to increased fat production in the liver, contributing to weight gain and obesity. Cutting out sugar helps to reduce this effect. Enhanced Metabolism: Reducing sugar can improve metabolic health, including better insulin sensitivity and lower risk of metabolic syndrome, which can facilitate weight loss. By cutting out sugar and replacing it with healthier options, you can create a more balanced and sustainable diet that supports weight loss and overall well-being. A third commented: 'Wow you look amazing!! Well done.' At the same time, one user gushed: 'Wow!! You look like a younger version of Jennifer Aniston now. Very well done.' Meanwhile, someone else gasped: 'If that's the same person fair play.'
