Evidence map›Paper›PMID 41342126›Full record

ArticleCirculation. Cardiovascular imaging2026

Global Longitudinal Strain for Prognostic Staging in Wild-Type Transthyretin Cardiac Amyloidosis.

Philippe Debonnaire, Wouter L'Hoyes, Erwan Donal, Nicolas Verheyen, Delphine Vervloet, Karl Dujardin, Anne-Catherine Pouleur, Raluca Dulgheru, Victor Sarli Issa, Steven Droogmans and 19 more

Abstract readMulticenter Study
In one paragraph

Article in Circulation. Cardiovascular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Philippe DebonnaireCardiology Department, AZ Sint-Jan Brugge, Belgium (P.D., W.L., E.C., R.T., I.B., S.T.).ORCID 0000-0003-1196-3016
Wouter L'HoyesCardiology Department, AZ Sint-Jan Brugge, Belgium (P.D., W.L., E.C., R.T., I.B., S.T.).ORCID 0000-0002-5612-127X
Erwan DonalCardiology Department, Centre Hospitalier Universitaire Rennes, France (E.D., M.B.).ORCID 0000-0003-2677-3389
Nicolas VerheyenCardiology Department, Medical University Graz, Austria (N.V., D.Z., N.S.).ORCID 0000-0001-7414-4056
Delphine VervloetCardiology Department, Ziekenhuis Maria Middelares, Gent, Belgium (D.V.).ORCID 0000-0003-4780-5247
Karl DujardinCardiology Department, Algemeen Ziekenhuis Delta, Roeselare, Belgium (K.D., N.W.).
Anne-Catherine PouleurCardiology Department, Cliniques Universitaires St. Luc, Brussels, Belgium (A.-C.P.).ORCID 0000-0002-2395-1787
Raluca DulgheruCardiology Department, CHU Sart-Tilman, Liège, Belgium (R.D., N.d.M.).
Victor Sarli IssaCardiology Department, Universitair Ziekenhuis Antwerpen, Edegem, Belgium (V.S.I.).ORCID 0000-0003-2220-4672
Steven DroogmansDepartment of Cardiology, Vrije Universiteit Brussel, Centrum voor Hart- en Vaatziekten, Universitair Ziekenhuis Brussel, Jette, Belgium (S.D., L.B.).ORCID 0000-0003-3985-3249
Ruxandra JurcutDepartment of Cardiology, Expert Center for Genetic Cardiovascular Diseases, Emergency Institute for Cardiovascular Diseases 'Prof. dr. C.C. Iliescu', Univeristy of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania (R.J., R.A.).ORCID 0000-0002-3438-2612
Madelien RegeerDepartment of Cardiology, Leiden University Medical Centre, the Netherlands (M.R., N.A.M.).ORCID 0000-0002-1562-8365
Matthias DupontCardiology Department, Ziekenhuis Oost-Limburg, Genk, Belgium (M.D.).ORCID 0000-0002-0802-9508
Antoine BondueDepartment of Cardiology, Hopital Erasme and Institut de Recherche Interdisciplinaire en Biologie humaine et moléculaire, Université Libre de Bruxelles, Brussels, Belgium (A. Bondue).ORCID 0000-0002-4103-515X
Philippe TimmermansCardiology Department, Jessa Ziekenhuis, Hasselt, Belgium (P.T., R.K.).ORCID 0000-0003-4023-615X
Alexandre BohynDepartment of Biostatistics, Katholieke Universiteit Leuven Interuniversity Centre for Biostatistics and Statistical Bioinformatics, Belgium (A. Bohyn).ORCID 0000-0001-9776-7467
Emma ChristiaenCardiology Department, AZ Sint-Jan Brugge, Belgium (P.D., W.L., E.C., R.T., I.B., S.T.).
Nicolas WyseureCardiology Department, Algemeen Ziekenhuis Delta, Roeselare, Belgium (K.D., N.W.).
Mélanie BezardCardiology Department, Centre Hospitalier Universitaire Rennes, France (E.D., M.B.).
David ZachCardiology Department, Medical University Graz, Austria (N.V., D.Z., N.S.).ORCID 0000-0003-0815-6731
Nora SchwegelCardiology Department, Medical University Graz, Austria (N.V., D.Z., N.S.).ORCID 0000-0001-8736-9625
Robbe KnapenCardiology Department, Jessa Ziekenhuis, Hasselt, Belgium (P.T., R.K.).
Lars BuytaertDepartment of Cardiology, Vrije Universiteit Brussel, Centrum voor Hart- en Vaatziekten, Universitair Ziekenhuis Brussel, Jette, Belgium (S.D., L.B.).ORCID 0009-0008-2795-4388
Nils de MarneffeCardiology Department, CHU Sart-Tilman, Liège, Belgium (R.D., N.d.M.).ORCID 0000-0001-7237-8190
Robert AdamDepartment of Cardiology, Expert Center for Genetic Cardiovascular Diseases, Emergency Institute for Cardiovascular Diseases 'Prof. dr. C.C. Iliescu', Univeristy of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania (R.J., R.A.).ORCID 0000-0002-5018-1482
Nina Ajmone MarsanDepartment of Cardiology, Leiden University Medical Centre, the Netherlands (M.R., N.A.M.).ORCID 0000-0001-7208-5769
René TavernierCardiology Department, AZ Sint-Jan Brugge, Belgium (P.D., W.L., E.C., R.T., I.B., S.T.).ORCID 0000-0003-4575-5231
Ian BuysschaertCardiology Department, AZ Sint-Jan Brugge, Belgium (P.D., W.L., E.C., R.T., I.B., S.T.).ORCID 0000-0003-1754-9334
Sander TrensonCardiology Department, AZ Sint-Jan Brugge, Belgium (P.D., W.L., E.C., R.T., I.B., S.T.).ORCID 0000-0002-3902-0047

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA formal prognostic staging system in wild-type transthyretin amyloid cardiomyopathy (ATTRwt-CM), based on echocardiographic imaging, is lacking. We evaluated the prognostic performance of global longitudinal strain (GLS) staging in a large cohort of patients with ATTRwt-CM, including under tafamidis treatment and relative to National Amyloidosis Center (NAC) biomarker staging.

methodsA multicentric, international ATTRwt-CM patient cohort with baseline GLS (distribution quartiles), evaluated by echocardiography, was studied, related to all-cause mortality.

resultsThe study comprised 816 patients with ATTRwt-CM, median age of 81.5 years, 83% males, and 72% tafamidis initiated. During a 2.2-year median follow-up, 29.7% of patients died. GLS worsened with increasing NAC disease stage (I: -14.3%, II: -11.6%, III: -11.4%;

conclusionsGLS is a strong, independent mortality predictor in ATTRwt-CM, irrespective of tafamidis treatment, that may be an adjunct or complementary to biomarker staging.

Indexed as

Amyloid Neuropathies, FamilialCardiomyopathiesEchocardiographyMyocardial ContractionVentricular Function, LeftAgedAged, 80 and overBenzoxazolesFemaleGlobal Longitudinal StrainHumansMalePredictive Value of TestsPrognosisRetrospective StudiesRisk FactorsBenzoxazolestafamidisamyloidosisechocardiographymortalityprognosistafamidis

Identifiers

PMID41342126
PMCPMC12825696

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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.