Evidence map›Paper›PMID 34980185›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2022

Normal sex and age-specific parameters in a multi-ethnic population: a cardiovascular magnetic resonance study of the Canadian Alliance for Healthy Hearts and Minds cohort.

Judy M Luu, Catherine Gebhard, Chinthanie Ramasundarahettige, Dipika Desai, Karleen Schulze, Francois Marcotte, Philip Awadalla, Philippe Broet, Trevor Dummer, Jason Hicks and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02220582 (A Pan-Canadian, Multi-ethnic Cohort Study in Healthy Participants Aimed to Better Understand the Impact of Individual, Socioeconomic and Other Environmental Factors Leading to Cardiac and Vascular Disease), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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.

NCT02220582 completednot on this map

A Pan-Canadian, Multi-ethnic Cohort Study in Healthy Participants Aimed to Better Understand the Impact of Individual, Socioeconomic and Other Environmental Factors Leading to Cardiac and Vascular Disease

TypeobservationalSponsorMontreal Heart InstituteRan2013 to 2019Enrolled7,900ConditionsCardiovascular DiseasesArmsMRI
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Society for Cardiovascular Magnetic Resonance reference values ("normal values") in cardiovascular magnetic resonance: 2025 update.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
    Guideline
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Sex-specific structural and functional cardiac remodeling during healthy aging assessed by cardiovascular magnetic resonance.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Reply to Stöllberger et al.Journal of anatomy · 2022
    Article
  18. Redefining CMR reference standards through prognostic validation.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    Article
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

21 authors at 15 institutions in 3 countries.

Judy M Luu *Division of Cardiology, Department of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Catherine Gebhard *Department of Nuclear Medicine, University Hospital Zurich, Zurich, Switzerland.
Chinthanie RamasundarahettigePopulation Health Research Institute, Hamilton Health Sciences, McMaster University, 237 Barton St East, Hamilton, ON, L8L 2X2, Canada.
Dipika DesaiPopulation Health Research Institute, Hamilton Health Sciences, McMaster University, 237 Barton St East, Hamilton, ON, L8L 2X2, Canada.
Karleen SchulzePopulation Health Research Institute, Hamilton Health Sciences, McMaster University, 237 Barton St East, Hamilton, ON, L8L 2X2, Canada.
Francois MarcotteResearch Centre, Montreal Heart Institute, Université de Montréal, 5000 Belanger Street, Montreal, QC, H1T 1C8, Canada.
Philip AwadallaDepartment of Molecular Genetics, Ontario Institute for Cancer Research, University of Toronto, 661 University Avenue Suite 510, Toronto, ON, M5G 0A3, Canada.
Philippe BroetDepartment of Preventive and Social Medicine, École de Santé Publique, Université de Montréal, 3175 Chemin de la Cote-Sainte-Catherine, Montreal, QC, H3T 1C5, Canada.
Trevor DummerSchool of Population and Public Health, Cancer Control Research, BC Cancer, University of British Columbia, 675 W 10th Avenue, Vancouver, BC, V5Z 1L3, Canada.
Jason HicksAtlantic PATH, Dalhousie University, 1494 Carlton Street, P.O. Box 15000, Halifax, NS, B3H 4R2, Canada.
Eric LaroseInstitut Universitaire de Cardiologie et de Pneumologie de Québec - Université Laval, 2725 chemin Sainte-Foy, Quebec, G1V 4G5, Canada.
Alan MoodySunnybrook Health Science Centre, Toronto, ON, Canada.
Eric E SmithDepartment of Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.
Jean-Claude TardifResearch Centre, Montreal Heart Institute, Université de Montréal, 5000 Belanger Street, Montreal, QC, H1T 1C8, Canada.
Tiago TeixeiraCardiology Department, Entre Douro e Vouga Hospital Centre, Santa Maria Feira, Portugal.
Koon K TeoPopulation Health Research Institute, Hamilton Health Sciences, McMaster University, 237 Barton St East, Hamilton, ON, L8L 2X2, Canada.
Jennifer VenaCancer Research and Analytics, Cancer Control Alberta, Alberta Health Services, Suite 1500 Sun Life Place, 10123 99th Street NW, Edmonton, AB, T5J 3H1, Canada.
Douglas S LeeInstitute for Clinical Evaluative Sciences, Toronto, ON, Canada.
Sonia S AnandPopulation Health Research Institute, Hamilton Health Sciences, McMaster University, 237 Barton St East, Hamilton, ON, L8L 2X2, Canada.
Matthias G FriedrichDepartment of Medicine and Diagnostic Radiology, McGill University, 1001 Decarie Boulevard, Montreal, QC, H4A 3J1, Canada. mgwfriedrich@gmail.com.ORCID 0000-0003-1204-5647
CAHHM Study Investigators
Population Health Research Institute · CAMontreal Heart Institute · CAAlberta Health Services · CACentre Hospitalier Universitaire Sainte-Justine · CADalhousie University · CAInstitut universitaire de cardiologie et de pneumologie de Québec · CAMcGill University · CAOntario Institute for Cancer Research · CASunnybrook Health Science Centre · CAUnidade Local de Saúde de Entre Douro e Vouga · PTUniversity Health Network · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Manitoba · CAUniversity of Zurich · CH

Funding

CIHR FDN-143255CIHR FDN-143313CIHR FDN-154317
6 · The paper itself

Abstract

backgroundDespite the growing utility of cardiovascular magnetic resonance (CMR) for cardiac morphology and function, sex and age-specific normal reference values derived from large, multi-ethnic data sets are lacking. Furthermore, most available studies use a simplified tracing methodology. Using a large cohort of participants without history of cardiovascular disease (CVD) or risk factors from the Canadian Alliance for Healthy Heart and Minds, we sought to establish a robust set of reference values for ventricular and atrial parameters using an anatomically correct contouring method, and to determine the influence of age and sex on ventricular parameters. METHODS AND

resultsParticipants (n = 3206, 65% females; age 55.2 ± 8.4 years for females and 55.1 ± 8.8 years for men) underwent CMR using standard methods for quantitative measurements of cardiac parameters. Normal ventricular and atrial reference values are provided: (1) for males and females, (2) stratified by four age categories, and (3) for different races/ethnicities. Values are reported as absolute, indexed to body surface area, or height. Ventricular volumes and mass were significantly larger for males than females (p < 0.001). Ventricular ejection fraction was significantly diminished in males as compared to females (p < 0.001). Indexed left ventricular (LV) end-systolic, end-diastolic volumes, mass and right ventricular (RV) parameters significantly decreased as age increased for both sexes (p < 0.001). For females, but not men, mean LV and RVEF significantly increased with age (p < 0.001).

conclusionUsing anatomically correct contouring methodology, we provide accurate sex and age-specific normal reference values for CMR parameters derived from the largest, multi-ethnic population free of CVD to date. CLINICAL

trial registrationClinicalTrials.gov, NCT02220582. Registered 20 August 2014-Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT02220582 .

Indexed as

Heart VentriclesVentricular Function, LeftAge FactorsCanadaFemaleHumansMagnetic Resonance Imaging, CineMagnetic Resonance SpectroscopyMaleMiddle AgedPredictive Value of TestsReference ValuesSex FactorsStroke VolumeAgeCardiovascular magnetic resonanceNormalReferenceSex

Identifiers

PMID34980185
PMCPMC8722350
OpenAlexW4206534063

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.