Evidence map›Paper›PMID 40710786›Full record

ArticleJournal of cardiovascular development and disease2025

The Prognostic Implication of Left Atrial Strain Parameters with Conventional Left Atrial Parameters for the Prediction of Adverse Outcomes in Asian Patients with Hypertrophic Cardiomyopathy-An Echocardiographic Study.

Andre Seah, Tony Y W Li, Novi Yanti Sari, Chi-Hang Lee, Tiong-Cheng Yeo, James W L Yip, Yoke Ching Lim, Kian-Keong Poh, William K F Kong, Weiqin Lin and 2 more

Abstract read
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Article in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

12 authors.

Andre SeahDepartment of Medicine, National University Health System, Singapore 119074, Singapore.ORCID 0000-0003-1064-6887
Tony Y W LiDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.ORCID 0000-0002-1234-1334
Novi Yanti SariDepartment of Cardiology, Dr. Muhammad Hoesin General Hospital, Palembang 30126, Indonesia.ORCID 0000-0002-9261-3087
Chi-Hang LeeDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.
Tiong-Cheng YeoDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.
James W L YipDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.
Yoke Ching LimDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.
Kian-Keong PohDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.ORCID 0000-0003-3515-7924
William K F KongDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.
Weiqin LinDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.ORCID 0000-0001-8319-504X
Ching-Hui SiaDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.ORCID 0000-0002-2764-2869
Raymond C C WongDepartment of Cardiology, National University Heart Centre, Singapore 119228, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesLeft atrial function can be a tool for risk stratification for hypertrophic cardiomyopathy (HCM). Over the past decade, there has been growing interest in the application of strain analysis for earlier and more accurate prediction of cardiovascular disease prognosis. This study aimed to investigate the performance of left atrial strain analysis compared to conventional left atrial measures in predicting clinical outcomes in Asian patients with HCM. METHODS AND

resultsThis was a retrospective study involving 291 patients diagnosed with HCM between 2010 and 2017. Left atrial volumes were assessed using the method of discs in orthogonal plans at both end diastole and end systole. Left atrial (LA) strain was obtained using a post-hoc analysis with TOMTEC software. We tested the various left atrial parameters against outcomes of (1) heart failure hospitalization and (2) event-free survival from a composite of adverse events, including all-cause mortality, ventricular tachycardia (VT)/ventricular fibrillation (VF) events, appropriate device therapy if an implantable cardioverter defibrillator (ICD) was implanted, stroke, and heart failure hospitalization. The patients had a mean age of 59.0 ± 16.7 years with a male preponderance (71.2%). The cumulative event-free survival over a follow-up of 3.9 ± 2.7 years was 55.2% for patients with an abnormal LA strain versus 82.4% for patients without one (

conclusionsIn Asian patients with HCM, measures of left atrial strain were independently associated with heart failure hospitalization and a composite of adverse outcomes. Left atrial strain may be used as a tool to predict adverse outcomes in patients with HCM.

Indexed as

heart failurehypertrophic cardiomyopathyleft atrial strain

Identifiers

PMID40710786
PMCPMC12296001

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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 Socratic graph.