Evidence map›Paper›PMID 32613770›Full record

ArticleESC heart failure2020

Left atrial strain as sensitive marker of left ventricular diastolic dysfunction in heart failure.

Athanasios Frydas, Daniel A Morris, Evgeny Belyavskiy, Aravind-Kumar Radhakrishnan, Martin Kropf, Marijana Tadic, Lothar Roessig, Carolyn S P Lam, Sanjiv J Shah, Scott D Solomon and 2 more

Open access · goldAbstract read
In one paragraph

Article in ESC heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Left atrium strain in rheumatoid arthritis patients - a sub-study of the prospective Porto-RA cohort.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Observational
  9. Article
  10. Observational
  11. Review
  12. Article
  13. Article
  14. Article
  15. Left atrial global strain supports left atrial end-diastolic volume as a measure of left atrial function.American heart journal plus : cardiology research and practice · 2025
    Article
  16. Left atrial functional remodeling following percutaneous closure of atrial septal defect secundum in adult patients.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 4 countries.

Athanasios FrydasDepartment of Internal Medicine and Cardiology, Charité University Medicine (Campus Virchow Klinikum), Augustenburger Platz 1, Berlin, 13353, Germany.
Daniel A MorrisDepartment of Internal Medicine and Cardiology, Charité University Medicine (Campus Virchow Klinikum), Augustenburger Platz 1, Berlin, 13353, Germany.
Evgeny BelyavskiyDepartment of Internal Medicine and Cardiology, Charité University Medicine (Campus Virchow Klinikum), Augustenburger Platz 1, Berlin, 13353, Germany.
Aravind-Kumar RadhakrishnanDepartment of Internal Medicine and Cardiology, Charité University Medicine (Campus Virchow Klinikum), Augustenburger Platz 1, Berlin, 13353, Germany.
Martin KropfDepartment of Internal Medicine and Cardiology, Charité University Medicine (Campus Virchow Klinikum), Augustenburger Platz 1, Berlin, 13353, Germany.
Marijana TadicDepartment of Internal Medicine and Cardiology, Charité University Medicine (Campus Virchow Klinikum), Augustenburger Platz 1, Berlin, 13353, Germany.
Lothar RoessigBayer AG, Wuppertal, Germany.
Carolyn S P LamNational Heart Centre, Singapore.
Sanjiv J ShahDepartment of Medicine, Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Scott D SolomonBrigham and Women's Hospital, Boston, MA, USA.
Burkert PieskeDepartment of Internal Medicine and Cardiology, Charité University Medicine (Campus Virchow Klinikum), Augustenburger Platz 1, Berlin, 13353, Germany.
Elisabeth Pieske-KraigherDepartment of Internal Medicine and Cardiology, Charité University Medicine (Campus Virchow Klinikum), Augustenburger Platz 1, Berlin, 13353, Germany.
Charité - Universitätsmedizin Berlin · DEGerman Centre for Cardiovascular Research · DEBayer (Germany) · DEBerlin Institute of Health at Charité - Universitätsmedizin Berlin · DEBrigham and Women's Hospital · USNorthwestern University · USUniversity of Groningen · NL

Funding

Bayer Pharma AG, BerlinMerck Sharp & Dohme
6 · The paper itself

Abstract

aimsThe purpose of this retrospective analysis was to examine the association of left atrial (LA) strain (i.e. LA reservoir function) with left ventricular diastolic dysfunction (DD) in patients with heart failure with reduced and preserved left ventricular ejection fraction (LVEF). METHODS AND

resultsWe analysed the baseline echocardiographic recordings of 300 patients in sinus rhythm from the SOCRATES-PRESERVED and SOCRATES-REDUCED studies. LA volume index was normal in 89 (29.7%), of whom 60.6% had an abnormal LA reservoir strain (i.e. ≤23%). In addition, the extent of LA strain impairment was significantly associated with the severity of DD according to the 2016 American Society of Echocardiography recommendations (DD grade I: LA strain 22.2 ± 6.6, rate of abnormal LA strain 62.9%; DD grade II: LA strain 16.6 ± 7.4, rate of abnormal LA strain 88.6%; DD grade III: LA strain 11.1 ± 5.4%, rate of abnormal LA strain 95.7%; all P < 0.01). In line with these findings, LA strain had a good diagnostic performance to determine severe DD [area under the curve 0.83 (95% CI 0.77-0.88), cut-off 14.1%, sensitivity 80%, specificity 77.8%], which was significantly better than for LA volume index, LA total emptying fraction, and the mitral E/e' ratio.

conclusionsThe findings of this analysis suggest that LA strain could be a useful parameter in the evaluation of DD in patients with heart failure and sinus rhythm, irrespective of LVEF.

Indexed as

Heart FailureVentricular Dysfunction, LeftHumansRetrospective StudiesStroke VolumeVentricular Function, LeftEchocardiographyLeft atriumSpeckle-trackingStrain

Identifiers

PMID32613770
PMCPMC7373910
OpenAlexW3039497919

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.