Biological age estimated from chest X-rays predicts death risk after heart surgery better than standard scores

Biological age may provide prognostic value beyond traditional risk scores in patients undergoing heart disease interventions.

• Traditional risk models like EuroSCORE II and STS-PROM show inconsistent performance in transcatheter cohorts.
• Accurate risk stratification is crucial for clinical decision-making prior to structural heart disease interventions.
• Biological age reflects cumulative physiological decline and may be a useful metric for assessing patient risk.
• Existing models were primarily designed for surgical patients, limiting their applicability to transcatheter interventions.

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