Evidence map›Paper›PMID 42257499›Full record

ArticleEchocardiography (Mount Kisco, N.Y.)2026

Left Ventricular Strain-Volume Loops in a Healthy Population: The Role of Sex and Age.

Robert R Zwaan, Zoë A Keuning, Thijs P Kerstens, Daniel J Bowen, Alexander Hirsch, Hendrik J Vos, Arie P J van Dijk, Dick H J Thijssen, Jolien W Roos-Hesselink, Annemien E van den Bosch

Abstract read
In one paragraph

Article in Echocardiography (Mount Kisco, N.Y.), 2026. 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. Research Tool or Clinical Parameter?Echocardiography (Mount Kisco, N.Y.) · 2026
    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

10 authors.

Robert R ZwaanDepartment of Cardiology, Cardiovascular Institute, Thorax Center, Erasmus MC, Rotterdam, the Netherlands.
Zoë A KeuningDepartment of Cardiology, Cardiovascular Institute, Thorax Center, Erasmus MC, Rotterdam, the Netherlands.
Thijs P KerstensDepartment of Internal Medicine, Deventer ziekenhuis, Deventer, the Netherlands.
Daniel J BowenDepartment of Cardiology, Cardiovascular Institute, Thorax Center, Erasmus MC, Rotterdam, the Netherlands.
Alexander HirschDepartment of Cardiology, Cardiovascular Institute, Thorax Center, Erasmus MC, Rotterdam, the Netherlands.
Hendrik J VosDepartment of Cardiology, Cardiovascular Institute, Thorax Center, Erasmus MC, Rotterdam, the Netherlands.
Arie P J van DijkDepartment of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Dick H J ThijssenDepartment of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands.
Jolien W Roos-HesselinkDepartment of Cardiology, Cardiovascular Institute, Thorax Center, Erasmus MC, Rotterdam, the Netherlands.
Annemien E van den BoschDepartment of Cardiology, Cardiovascular Institute, Thorax Center, Erasmus MC, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBy combining left ventricular (LV) global longitudinal strain (GLS) with LV volume during the cardiac cycle, LV strain-volume loops (SV-loops) can be generated. LV SV-loop derived parameters provide new insights into the interaction between cardiac contraction and volume in a variety of cardiac diseases and may even have prognostic value. The aim of this study is to describe SV-loops in a healthy adult population and investigate potential sex- and age-related differences of LV SV-loop characteristics.

methodsIn 125 healthy volunteers aged 18-72 years, apical 2-, 3- and 4-chamber views were acquired to measure GLS. Custom software was used to combine strain and volume data to construct SV-loops. Different parameters were derived: (i) linear slope of systolic strain-volume relation (S-Slope); (ii) linear slope of early-systolic strain-volume relation (ES-Slope); (iii) linear slope of early-diastolic strain-volume relation (ED-Slope); (iv) linear slope of late-diastolic strain-volume relation (LD-slope) and (v) uncoupling between systolic and diastolic strain-volume relation (UNCOUP).

resultsFor systolic strain-volume relation, higher values were observed in females compared to males, with S-Slope values of 0.19 %/mL m

conclusionsHigher values observed in systolic and early-diastolic strain-volume relation in females may reflect sex-specific differences in LV contraction. While the exact mechanisms remain unclear, these findings suggest potential variations in myocardial deformation patterns that warrant further investigation. Consistent with previous work, relative coupling of the systolic and diastolic strain-volume relationship was identified in our cohort of healthy individuals. However, with increasing age, higher values for uncoupling were observed, suggesting age-related alterations in ventricular mechanics that may contribute to changes in cardiac function over time.

Indexed as

AgingEchocardiographyGlobal Longitudinal StrainHeart VentriclesStroke VolumeVentricular Function, LeftAdolescentAdultAgedAge FactorsFemaleHumansMaleMiddle AgedReference ValuesReproducibility of Resultsechocardiographyglobal longitudinal strainleft ventricle

Identifiers

PMID42257499
PMCPMC13244808

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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.