Evidence map›Paper›PMID 40341458›Full record

ArticleThe international journal of cardiovascular imaging2025

Mitral annular plane systolic excursion to left atrial volume ratio - a strainless relation with left ventricular filling pressures.

Thomas Lindow, Hande Oktay Tureli, Charlotte Eklund Gustafsson, Daniel Manna, Björn Wieslander, Per Lindqvist, Ashwin Venkateshvaran

Abstract read
In one paragraph

Article in The international journal of cardiovascular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Thomas LindowRespiratory Medicine, Allergology, and Palliative Medicine, Clinical Sciences, Lund University, Lund, Sweden. Thomas.akesson_lindow@med.lu.se.ORCID http://orcid.org/0000-0002-2943-0034
Hande Oktay TureliDepartment of Clinical Physiology, Umeå University Hospital, Umeå, Sweden.
Charlotte Eklund GustafssonDepartment of Clinical Physiology, Department of Research and Development, Region Kronoberg, Växjö Central Hospital, Växjö, Sweden.
Daniel MannaDepartment of Clinical Physiology, Department of Research and Development, Region Kronoberg, Växjö Central Hospital, Växjö, Sweden.
Björn WieslanderDepartment of Clinical Physiology, Department of Research and Development, Region Kronoberg, Växjö Central Hospital, Växjö, Sweden.
Per LindqvistDepartments of Clinical Physiology and Diagnostics and Intervention, Umeå University, Umeå, Sweden.
Ashwin VenkateshvaranDepartments of Clinical Physiology and Diagnostics and Intervention, Umeå University, Umeå, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Left atrial reservoir strain (LASr) offers diagnostic and prognostic value in patients with heart failure. However, LASr may be technically challenging and is not available to all clinical echocardiographers. Since LASr is a consequence of left atrial (LA) stretch during apical descent of the mitral annulus, we hypothesized that a ratio between mitral annular plane systolic excursion (MAPSE) and LA volume (LAV) may offer similar diagnostic value as LASr. We aimed to investigate the relationship between MAPSE/LAV and LASr and evaluate the diagnostic performance of MAPSE/LAV to identify patients with elevated LV filling pressure. MAPSE/LAV and LA strain measures were obtained in patients referred for echocardiography due to aortic stenosis, and in patients who had undergone clinically indicated right heart catheterization (RHC) with simultaneous echocardiography. In 93 patients with moderate aortic stenosis, MAPSE/LAV was moderately correlated with LASr (r = 0.57) but was lower in patients with elevated compared to normal LV filling pressure by echocardiography (0.11 vs. 0.16 mm/mL, p < 0.001). In 72 patients who had undergone RHC and simultaneous echocardiography, MAPSE/LAV and LASr correlated weakly with pulmonary artery wedge pressure (PAWP) (r=-0.44 and r = 0.37). MAPSE/LAV was lower in patients with elevated (> 15 mmHg) vs. normal PAWP (0.14 mm/mL vs. 0.27 mm/mL). Accuracy for detection of elevated PAWP was similar for MAPSE/LAV (area under the curve MAPSE/LAV: 0.75 [0.58-0.92] and LASr: 0.75 [0.57-0.90]). Despite a moderate correlation with LASr, MAPSE/LAV provided similar diagnostic value as LASr in predicting elevated LV filling pressures as determined by echocardiography and RHC.

Indexed as

Aortic Valve StenosisAtrial Function, LeftHeart AtriaMitral ValveVentricular Function, LeftVentricular PressureAgedAged, 80 and overArea Under CurveBiomechanical PhenomenaCardiac CatheterizationFemaleHumansMaleMiddle AgedPredictive Value of TestsAtrioventricular displacementEchocardiographyHeart failureLeft atrial reservoir strainLeft atrial strainLeft ventricular filling pressures

Identifiers

PMID40341458
PMCPMC12241113

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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.