A new smart finger-cuff algorithm showed high accuracy for detecting moderate-to-severe aortic stenosis among African American patients in the REACH trial. Results were presented at the SCAI 2026 Scientific Sessions and CAIC-ACCI Summit in Montreal, with the tool aimed at improving screening precision for a high-risk population. The device approach is designed to support more consistent triage outside traditional catheter-based workflows, which can expand access and reduce time-to-referral for echo-confirmation. The trial’s subgroup focus addresses underrepresentation concerns and tests performance where clinical burden can be higher. As cardiology adopts more automated hemodynamic assessment tools, REACH provides a data point on whether algorithmic screening can deliver clinically useful accuracy in targeted demographic groups.