Evidence map›Paper›PMID 42841925›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2026

Regional strain patterns in patients with mitral valve prolapse.

Jeffrey Ji-Peng Li, Shing Ching, Annette Aigner, Frank Edelmann, Stefanie Maria Werhahn, Rebecca Beyer, Jeanette Schulz-Menger, Jennifer Erley, Misael Estepa, Cyrill Meuwly and 8 more

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Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Jeffrey Ji-Peng LiDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany. jeffrey-ji-peng.li@charite.de.ORCID http://orcid.org/0009-0002-4393-5773
Shing ChingDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Annette AignerInstitute of Biometry and Clinical Epidemiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Berlin, Germany.
Frank EdelmannDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Stefanie Maria WerhahnDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Rebecca BeyerCorporate Member of Freie Universität Berlin and Humboldt-Universität Zu Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Jeanette Schulz-MengerDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Jennifer ErleyDepartment of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Misael EstepaDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Cyrill MeuwlyDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Ann-Sophie EggersDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Christian StehningClinical Science, Philips Healthcare, Hamburg, Germany.
Djawid HashemiDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Natalia SolowjowaDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Christoph KleinDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Ingo HilgendorfDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Sebastian KelleDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.
Patrick DoeblinDepartment of Cardiology, Angiology and Intensive Care Medicine, Deutsches Herzzentrum Der Charité, Augustenburger Platz 1, 13353, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEchocardiographic studies have shown that patients with mitral valve prolapse (MVP) exhibit altered regional contraction patterns. With cardiovascular magnetic resonance (CMR) becoming increasingly important in the evaluation of global and regional cardiac function, we aimed to quantify the regional contraction patterns of patients with MVP using CMR feature tracking (FT) strain analysis in comparison to a control group.

methodsOf all patients who underwent CMR scans from 2013 to 2022 at our institution, 132 patients with MVP were identified and compared to 50 controls without any cardiac condition. CMR scans were performed on 1.5-T and 3-T scanners, and CMR-FT strain analysis was performed on cine images using MEDIS QStrain 4.1. The primary endpoints were regional peak left ventricular (LV) longitudinal strain values. Secondary endpoints included LV global circumferential strain (GCS) and global longitudinal strain (GLS) and left atrial (LA) reservoir strain and right ventricular (RV) free wall longitudinal strain. Differences between groups were assessed using linear regression models, adjusting for age and sex.

resultsPatients with MVP showed worse regional peak longitudinal strain compared to controls in the basal and part of the medial LV segments, especially in segments S1, S4, S6, S7, and S12. In contrast, the apical segments S13, S14, S15, and S16 showed better strain values. Additionally, LA reservoir strain was reduced in MVP patients. LV GCS, LV GLS, and RV free wall longitudinal strain were similar between both groups.

conclusionWhile patients with MVP showed preserved LV GCS and GLS compared to controls, LV regional longitudinal strain analysis showed impaired strain in the basal segments and increased strain in the apical segments.

Indexed as

Cardiac magnetic resonance imagingFeature trackingMitral valve prolapseStrain

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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.