Evidence map›Paper›PMID 40850633›Full record

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

Longitudinal trajectories of left ventricular myocardial remodeling: associations with cardiovascular risk factors in the multi-ethnic study of atherosclerosis.

Charlène A Mauger, Bharath Ambale-Venkatesh, Avan Suinesiaputra, David A Bluemke, Colin O Wu, Joao A C Lima, Alistair A Young

Abstract readMulticenter Study
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance. 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
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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.

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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.

Charlène A MaugerSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom; Department of Anatomy and Medical Imaging, University of Auckland, Auckland, New Zealand.
Bharath Ambale-VenkateshDepartment of Cardiology, Johns Hopkins Medical Centre, Baltimore, USA.
Avan SuinesiaputraSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
David A BluemkeDepartment of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Colin O WuOffice of Biostatistics Research, National Heaart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA.
Joao A C LimaDepartment of Cardiology, Johns Hopkins Medical Centre, Baltimore, USA.
Alistair A YoungSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom; Department of Anatomy and Medical Imaging, University of Auckland, Auckland, New Zealand. Electronic address: alistair.young@kcl.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding the influence of cardiovascular risk factors on longitudinal cardiac remodeling requires three-dimensional analysis of longitudinal shape changes beyond scalar indicators such as mass and volumes. The aim of this study is to determine trajectories of cardiovascular risk factor-related remodeling in a large cohort imaging study.

methodsWe examined 2521 participants (54% female, aged 60±9 years) of the multi-ethnic study of atherosclerosis (MESA) at baseline and after 10years. Myocardial remodeling was assessed by longitudinal left ventricular shape trajectories derived from cardiac magnetic resonance imaging using a statistical shape atlas. Penalized logistic regression was used to examine the associations between trajectory scores and cardiovascular risk factors, after adjustment for sex and age at baseline. Multivariate regression was used to determine independent shape changes associated with each risk factor.

resultsBetween baseline and follow-up, there was a higher prevalence of hypertension (18.4%), antihypertensive medication usage (21.6%), statin usage, and treated diabetes mellitus (8.9%); all p<0.05. Longitudinal shape trajectory scores had stronger associations with obesity, high blood pressure, hypertension medication, and diabetes mellitus, than mass and volume changes (p<0.05). Multivariate regression showed independent longitudinal changes in wall thickening with obesity (13% increase), smoking (11% decrease), and high systolic blood pressure (5.6% increase), with distinct regional variations.

conclusionTrajectories of cardiovascular risk factor-related longitudinal remodeling can be examined using shape atlases. In addition to global changes, each risk factor is associated with a distinct regional remodeling of the myocardium.

Indexed as

Ventricular Function, LeftVentricular RemodelingAgedFemaleHeart Disease Risk FactorsHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedPredictive Value of TestsPrevalencePrognosisProspective StudiesRisk AssessmentRisk FactorsCardiac remodelingShape Analysis

Identifiers

PMID40850633
PMCPMC12745149

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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.