Evidence mapPaperPMID 39824232Full record

ArticleJournal of the American Society of Echocardiography : official publication of the American Society of Echocardiography2025

Association of Impaired Relaxation Mitral Inflow Pattern (Grade 1 Diastolic Function) With Long-Term Noncardiovascular and Cardiovascular Mortality.

Kathleen A Young, Richard J Rodeheffer, Jared G Bird, William R Miranda, Horng H Chen, Jae K Oh, Garvan C Kane

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Article in Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 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
field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kathleen A YoungDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota. Electronic address: young.kathleen1@mayo.edu.
Richard J RodehefferDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Jared G BirdDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
William R MirandaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Horng H ChenDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Jae K OhDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Garvan C KaneDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.

Funding

PREVALENCE OF ASYMPTOMATIC VENTRICULAR DYSFUNCTIONR01HL055502 · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · 1997 to 2004
$2.7M
Human Cardiorenal SyndromeR01HL084155 · NHLBI · MAYO CLINIC ROCHESTER · 2023 to 2025
$794k
NHLBI NIH HHS R01 HL055502NHLBI NIH HHS R01 HL084155NHLBI NIH HHS R01 HL136440NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

backgroundAbnormalities of left ventricular diastolic function are established independent predictors of heart failure and mortality. The aim of this study was to determine whether the association of diastolic function with all-cause mortality is driven by cardiovascular or noncardiovascular death and if impaired relaxation mitral inflow filling pattern is a risk marker.

methodsDiastolic function was graded by the Mayo Clinic algorithm using the well-characterized prospective Olmsted County Heart Function Study. Those with reduced left ventricular ejection fraction, moderate or greater valve disease, clinical diagnosis of heart failure, or indeterminate diastolic function were excluded. Notably, all patients with an impaired relaxation pattern (E/A ratio < 0.8) were classified as abnormal (grade 1) regardless of ejection fraction and clinical or other echocardiographic abnormalities. Individuals were followed for a median of 19.7 years (interquartile range, 18.9-20.6 years) for mortality outcomes.

resultsIn a community cohort of 1,005 subjects 63 years (interquartile range, 57-71 years) of age, grade 1 diastolic function was common (26%) and associated with all-cause mortality (hazard ratio [HR], 4.05; 95% CI, 3.22-5.09; P < .0001). This association persisted in a subgroup of those with impaired myocardial relaxation and no other clinical or echocardiographic abnormalities (HR, 2.71; 95% CI, 1.89-3.88; P < .0001). The association of diastolic function with noncardiovascular death was not significant after adjustment for age, sex, and comorbidities, though there was an association with grade 1 diastolic function and risk for death of dementia (age- and sex-adjusted HR, 2.30; 95% CI, 1.54-3.45; P < .001). The association of diastolic function and cardiovascular mortality persisted in multivariable model, including for grade 1 diastolic function (HR, 2.43; 95% CI, 1.16-5.05; P = .02).

conclusionsImpaired relaxation mitral inflow pattern (grade 1) is common in older adults in the community and found to be associated with cause-specific death, highlighting this simple echocardiographic finding as a potential biomarker of cardiovascular and cognitive risk and not necessarily a benign finding that is normal with age.

Indexed as

Cardiovascular DiseasesEchocardiographyMitral ValveVentricular Dysfunction, LeftAgedCause of DeathDiastoleFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsStroke VolumeSurvival RateDiastolic dysfunctionDiastolic functionImpaired myocardial relaxationMortality outcomes

Identifiers

PMID39824232
PMCPMC12049258

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