Evidence map›Paper›PMID 41367780›Full record

ArticleQuantitative imaging in medicine and surgery2025

CMR-based left atrial strain for predicting left ventricular diastolic dysfunction in asymptomatic hypertensive patients.

Weiwei Liao, Jianping Zhong, Song Xu, Junyuan Zhong

Abstract read
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Article in Quantitative imaging in medicine and surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Weiwei LiaoGanzhou Institute of Medical Imaging, Ganzhou Key Laboratory of Medical Imaging and Artificial Intelligence, Medical Imaging Center, Ganzhou People's Hospital, Ganzhou Hospital-Nanfang Hospital, Southern Medical University, Ganzhou, China.
Jianping ZhongGanzhou Institute of Medical Imaging, Ganzhou Key Laboratory of Medical Imaging and Artificial Intelligence, Medical Imaging Center, Ganzhou People's Hospital, Ganzhou Hospital-Nanfang Hospital, Southern Medical University, Ganzhou, China.
Song XuDepartment of Ultrasound, Ganzhou People's Hospital, Ganzhou Hospital-Nanfang Hospital, Southern Medical University, Ganzhou, China.
Junyuan ZhongGanzhou Institute of Medical Imaging, Ganzhou Key Laboratory of Medical Imaging and Artificial Intelligence, Medical Imaging Center, Ganzhou People's Hospital, Ganzhou Hospital-Nanfang Hospital, Southern Medical University, Ganzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Left ventricular diastolic dysfunction (LVDD) is highly prevalent in hypertension (HTN) and is strongly associated with heart failure with preserved ejection fraction (HFpEF). However, conventional cardiac magnetic resonance (CMR) protocols lack guideline-recommended hemodynamic parameters for diastolic function assessment, thereby limiting their utility in LVDD evaluation. This study employed CMR feature tracking (CMR-FT) to analyze left atrial (LA) function in patients with subclinical HTN. We aimed to validate CMR-FT-derived LA strain as a marker for detecting LVDD with elevated left atrial pressure (LAP), thereby providing CMR parameters for diastolic dysfunction evaluation without additional scanning. Methods: This retrospective study included 152 HTN patients and 60 healthy controls who underwent echocardiography and CMR. According to guidelines, patients with HTN were stratified into the HTN with normal LAP group (no LVDD or grade I LVDD) and the HTN with elevated LAP group (grade II or higher LVDD). LA strain parameters reflecting phasic functions (reservoir, conduit, and pump) were quantified with CMR-FT. Intergroup differences in left ventricular (LV) functional parameters and LA strain were compared using ANOVA, Kruskal-Wallis, or Chi-squared tests. Independent correlations of LA strain were identified by multivariable linear regression. The diagnostic performance of LA parameters for elevated LAP was evaluated by generating receiver operating characteristic (ROC) curves. Results: Compared to healthy controls, both HTN (normal LAP) and HTN (elevated LAP) groups exhibited significant impairment in LA reservoir strain (εs: 33.90%±5.51% and 24.75%±4.91% Conclusions: CMR-derived LA strain demonstrates high discriminatory power for cardiac impairment in HTN patients, serving as a sensitive marker for LVDD with elevated LAP. LA strain and LAVmin show strong potential as clinically applicable parameters for routine diastolic function assessment in CMR.

Indexed as

Cardiac magnetic resonance (CMR)hypertension (HTN)left atrial pressure (LAP)left atrial strainleft ventricular diastolic dysfunction (LVDD)

Identifiers

PMID41367780
PMCPMC12682465

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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.