Evidence map›Paper›PMID 40175013›Full record

ArticleJournal of the American College of Cardiology2025

New Threshold for Defining Mild Aortic Stenosis Derived From Velocity-Encoded MRI in 60,000 Individuals.

Shinwan Kany, Joel T Rämö, David Playford, Geoff Strange, Cody Hou, Sean J Jurgens, Victor Nauffal, Jonathan W Cunningham, Emily S Lau, Atul J Butte and 8 more

Abstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Shinwan KanyCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Department of Cardiology, University Heart and Vascular Center Hamburg-Eppendorf, Hamburg, Germany; Cardiovascular Research Center, Massachusetts General Hospital, Boston, Massachusetts, USA; German Center for Cardiovascular Research (DZHK), Partner Site Hamburg/Kiel/Lübeck, Hamburg, Germany.
Joel T RämöCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Cardiovascular Research Center, Massachusetts General Hospital, Boston, Massachusetts, USA; Institute for Molecular Medicine Finland (FIMM), Helsinki Institute of Life Science (HiLIFE), University of Helsinki, Helsinki, Finland.
David PlayfordInstitute for Health Research, University of Notre Dame, Fremantle, Western Australia, Australia; School of Medicine, University of Notre Dame, Fremantle, Western Australia, Australia.
Geoff StrangeInstitute for Health Research, University of Notre Dame, Fremantle, Western Australia, Australia; Heart Research Institute, Sydney, New South Wales, Australia; Department of Cardiology, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Cody HouCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Sean J JurgensCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Department of Experimental Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Victor NauffalCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Jonathan W CunninghamCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Emily S LauCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts, USA.
Atul J ButteBakar Computation Health Sciences Institute, University of California-San Francisco, San Francisco, California, USA.
Jennifer E HoCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Cardiology Division, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Jeffrey E OlginDivision of Cardiology, University of California-San Francisco, San Francisco, California, USA.
Sammy ElmariahDivision of Cardiology, University of California-San Francisco, San Francisco, California, USA.
Mark E LindsayCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Cardiovascular Research Center, Massachusetts General Hospital, Boston, Massachusetts, USA; Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA; Thoracic Aortic Center, Massachusetts General Hospital, Boston, Massachusetts, USA.
Yih-Kai ChanMary MacKillop Institute for Health Research, The Australian Catholic University, Melbourne, Victoria, Australia.
Simon StewartInstitute for Health Research, University of Notre Dame, Fremantle, Western Australia, Australia; School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, United Kingdom.
Patrick T EllinorCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Cardiovascular Research Center, Massachusetts General Hospital, Boston, Massachusetts, USA; Cardiology Division, Massachusetts General Hospital, Boston, Massachusetts, USA; Harvard Medical School, Boston, Massachusetts, USA; Heart and Vascular Institute, Mass General Brigham, Boston, Massachusetts, USA.
James P PirruccelloCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA; Bakar Computation Health Sciences Institute, University of California-San Francisco, San Francisco, California, USA; Division of Cardiology, University of California-San Francisco, San Francisco, California, USA; Institute for Human Genetics, University of California-San Francisco, San Francisco, California, USA; Cardiovascular Genetics Center, University of California-San Francisco, San Francisco, California, USA; School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, United Kingdom. Electronic address: james.pirruccello@ucsf.edu.

Funding

IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
TRAINING PROGRAM IN CARDIOVASCULAR RESEARCHT32HL007604 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI MARK W FEINBERG · 1985 to 2026
$19.0M
Multi-Omic Markers of Cardiac Function and Structure within the Pressure Overloaded HeartR01HL151838 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ELMARIAH, SAMMY · 2020 to 2024
$3.6M
Modeling and Therapeutic Approaches for Genetic VasculopathiesR01NS125353 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI MARK E LINDSAY, Patricia L Musolino · 2022 to 2026
$3.5M
Eicosanoid Profiles as Determinants of HFpEFR01HL140224 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2018 to 2021
$3.1M
Using Electrocardiogram Genetics to Inform Arrhythmia RiskR01HL157635 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS, MIRSHAHI, TOORAJ · 2022 to 2025
$2.9M
The Association of Metabolic Disease and Pulmonary HypertensionR01HL134893 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HO, JENNIFER E · 2017 to 2021
$2.9M
Long-Term Endothelial Effects of COVID-19 in ObesityR01HL160003 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI HAMBURG, NAOMI MIRIAM, HO, JENNIFER E · 2022 to 2025
$2.8M
HFpEF Susceptibility in Women: The Role of InflammationK23HL159243 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Emily Lau · 2022 to 2026
$1.1M
Deep learning to enable the genetic analysis of aortaK08HL159346 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PIRRUCCELLO, JAMES · 2021 to 2025
$827k
Mentoring in Patient-Oriented and Translational HFpEF ResearchK24HL153669 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Jennifer E Ho · 2020 to 2026
$744k
Effect of Neprilysin Inhibition on Myocardial Interstitial FibrosisK23HL168163 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Jonathan Woo Cunningham · 2024 to 2026
$586k
NHLBI NIH HHS K08 HL159346NHLBI NIH HHS K23 HL159243NHLBI NIH HHS K23 HL168163NHLBI NIH HHS K24 HL153669NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL134893NHLBI NIH HHS R01 HL140224NHLBI NIH HHS R01 HL151838NHLBI NIH HHS R01 HL157635NHLBI NIH HHS R01 HL160003NHLBI NIH HHS T32 HL007604NINDS NIH HHS R01 NS125353Wellcome Trust
6 · The paper itself

Abstract

backgroundMild aortic stenosis (AS) is associated with adverse outcomes but is incompletely defined.

objectivesThe purpose of this study was to examine the epidemiology of AV function measured without clinical indications.

methodsWe developed a deep learning model to measure aortic valve (AV) area, peak velocity, and mean gradient in velocity-encoded cardiac magnetic resonance imaging in 62,902 UK Biobank participants. Study findings were externally validated in NEDA (National Echo Database Australia), a clinical cohort of 365,870 people.

resultsFrom measuring reference ranges of AV function in a healthy subcohort (n = 41,859), we observed a natural boundary between normal and abnormal AV hemodynamics (>95th percentile) that we refer to as "mild AS

conclusionsWe report a large-scale study of AV hemodynamics and identify a population threshold between normal and abnormal AV function. Mild AS, as defined by the proposed criteria, was linked to adverse outcomes in the UK Biobank and in NEDA.

Indexed as

Aortic ValveAortic Valve StenosisMagnetic Resonance ImagingMagnetic Resonance Imaging, CineAgedDeep LearningFemaleHumansMaleMiddle AgedSeverity of Illness IndexUnited Kingdomaortic stenosisaortic valvecardiac magnetic resonance imagingcardiovascular diseasedeep learning

Identifiers

PMID40175013
PMCPMC12188531

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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.