Evidence map›Paper›PMID 40673505›Full record

ArticleJournal of the American Heart Association2025

Association Between Size of Left Ventricle and Long-Term Cardiovascular Events.

Yun-Jiu Cheng, Zi-Li Liao, Li-Juan Liu, Yue-Dong Ma, Xu-Miao Chen, Ze-Xuan Wu, Hui-Qiang Wei, Wei-Dong Lin, Yi-Jian Liao, Su-Hua Wu and 3 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Yun-Jiu ChengDepartment of Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou China.ORCID 0000-0001-6104-9308
Zi-Li LiaoDepartment of Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou China.
Li-Juan LiuDepartment of Cardiology, the First Affiliated Hospital Sun Yat-Sen University Guangzhou China.ORCID 0000-0001-8068-8498
Yue-Dong MaDepartment of Cardiology, the First Affiliated Hospital Sun Yat-Sen University Guangzhou China.ORCID 0000-0001-5908-7436
Xu-Miao ChenDepartment of Cardiology, the First Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Ze-Xuan WuDepartment of Cardiology, the First Affiliated Hospital Sun Yat-Sen University Guangzhou China.ORCID 0000-0003-3726-773X
Hui-Qiang WeiDepartment of Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou China.ORCID 0000-0003-0993-3432
Wei-Dong LinDepartment of Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou China.ORCID 0009-0002-2526-7695
Yi-Jian LiaoThe First Clinical Medical College, Guangdong Medical University Zhanjiang China.
Su-Hua WuDepartment of Cardiology, the First Affiliated Hospital Sun Yat-Sen University Guangzhou China.ORCID 0000-0001-9895-6497
Yu-Mei XueGuangdong Provincial Geriatrics Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University Guangzhou Guangdong China.ORCID 0000-0001-7354-0014
Li-Chun WangDepartment of Cardiology, the First Affiliated Hospital Sun Yat-Sen University Guangzhou China.ORCID 0000-0002-9757-3256
Yang WuDepartment of Cardiology, the First Affiliated Hospital Sun Yat-Sen University Guangzhou China.ORCID 0000-0002-3562-7976

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognostic significance of small left ventricle (LV) in the general population and its association with cardiovascular disease remain elusive.

methodsUsing data from the UK Biobank, 39 363 participants underwent baseline cardiovascular magnetic resonance imaging and were categorized into 3 groups based on left ventricular end-diastolic volume index: small, normal, and large LV. Cox proportional hazards models were applied to evaluate the association between LV size and composite cardiovascular outcomes.

resultsAn elevated prevalence of small LV was observed among the 4305 participants, with a notable trend toward increased occurrence in older individuals. Over a median follow-up of 5.21 years, 1500 cases of major adverse cardiovascular events, 1096 coronary heart disease, 288 ischemic stroke, and 722 deaths from any cause occurred. After adjusting for multiple confounders, hazard ratios (HRs) of small LV comparing the normal LV were 1.24 (95% CI, 1.07-1.44) for major adverse cardiovascular events, 1.29 (95% CI, 1.09-1.53) for coronary heart disease, 1.53 (95% CI, 1.11-2.09) for ischemic stroke, and 1.33 (95% CI, 1.08-1.64) for death from all causes. Notably, a U-shaped relationship was identified between left ventricular end-diastolic volume index and cardiovascular outcomes. Subgroup analysis revealed that, compared with women, the presence of a small LV in men exhibited a significant correlation with adverse cardiovascular events, thereby demonstrating potential value in disease prediction and risk stratification.

conclusionsThese findings highlight the importance of considering small LV as a prognostic marker for cardiovascular disease and underscore the need for further research to elucidate the underlying mechanisms and develop targeted interventions.

Indexed as

Cardiovascular DiseasesHeart VentriclesVentricular Function, LeftAgedFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedOrgan SizePrevalencePrognosisRisk AssessmentRisk FactorsStroke VolumeTime Factorscardiac magnetic resonance imagingcardiovascular diseaseleft ventricular end‐diastolic volume indexsmall left ventricle

Identifiers

PMID40673505
PMCPMC12450011

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.