Evidence map›Paper›PMID 41711211›Full record

ArticleESC heart failure2026

Association between left ventricular longitudinal function and left atrial strain in left ventricular dysfunction.

Björn Östenson, Elsa Bergström, Katarina Steding-Ehrenborg, Ashwin Venkateshvaran, Marcus Carlsson, Håkan Arheden, Ellen Ostenfeld

Abstract read
In one paragraph

Article in ESC heart failure, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Review
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

7 authors.

Björn ÖstensonClinical Physiology, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Entrégatan 7, 221 85, Lund, Sweden.ORCID 0000-0003-2016-9631
Elsa BergströmClinical Physiology, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Entrégatan 7, 221 85, Lund, Sweden.
Katarina Steding-EhrenborgClinical Physiology, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Entrégatan 7, 221 85, Lund, Sweden.
Ashwin VenkateshvaranClinical Physiology, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Entrégatan 7, 221 85, Lund, Sweden.
Marcus CarlssonClinical Physiology, Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Håkan ArhedenClinical Physiology, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Entrégatan 7, 221 85, Lund, Sweden.ORCID 0000-0002-6124-3159
Ellen OstenfeldClinical Physiology, Department of Clinical Sciences Lund, Lund University, Skåne University Hospital, Entrégatan 7, 221 85, Lund, Sweden.ORCID 0000-0002-2655-2423

Funding

Crafoord Foundation 200681Crafoord Foundation 20230611Lund University Faculty of MedicineSkåne University Hospital FoundationsSouthern Healthcare Region of SwedenSwedish Heart and Lung Foundation 20190576Swedish Heart and Lung Foundation 20210337Swedish Heart and Lung Foundation 20220449Swedish Heart and Lung Foundation 20230550Swedish Research Council 2021-02779Swedish Society of Medicine SLS-961558Swedish Society of Medicine SLS-999997
6 · The paper itself

Abstract

introductionLeft ventricular (LV) longitudinal function is a prognostic marker of hospitalization and mortality in LV dysfunction. Recently, left atrial (LA) reservoir and conduit strain have also been presented as independent prognostic markers. However, the atria and ventricles are coupled in the fibrous atrioventricular plane (LA-LV coupling). The degree to which the LA strain is affected, or even determined, by the LV longitudinal function in LV dysfunction has been explored by echocardiography, but not by cardiac magnetic resonance imaging (CMR). Therefore, we aimed to quantify the association between LV longitudinal ventricular function and LA strain using CMR feature-tracking.

methodsThree hundred and forty-two patients with LV dysfunction (including heart failure with reduced ejection fraction (HFrEF), candidates for cardiac resynchronization therapy (CRT) implantation, and ischaemic heart disease (IHD)), and 19 healthy controls (HC) who had undergone CMR were retrospectively included. LV global longitudinal strain (LV-GLS), LV atrioventricular plane displacement (AVPD), and LA-GLS (i.e. reservoir strain) were analysed in long-axis views using CMR feature-tracking.

resultsLA-GLS was lower in the LV dysfunction group when compared to HC (12 ± 8% vs 19 ± 7, P < .001), mirroring reductions in LV-GLS (-10 ± 5% vs -19 ± 3, P < .001), and LV-AVPD (9 ± 3 vs 15 ± 2 mm, P < .001). The coefficient of determination (r2) between LV-GLS and LA-GLS was .40 (95% CI 0.32-0.48) for the whole cohort, and 0.39 (95% CI 0.31-0.47) between LV-AVPD and LA-GLS.

conclusionIn a large cohort comprising both patients with LV dysfunction and HC, LA reservoir function quantified as LA-GLS was to a large extent determined by LV longitudinal function. LA function may not be an independent marker of global cardiac function for certain patient groups where diminished LA function can be a reflection of LV dysfunction.

Indexed as

Atrial Function, LeftHeart AtriaHeart VentriclesStroke VolumeVentricular Dysfunction, LeftVentricular Function, LeftAgedEchocardiographyFemaleFollow-Up StudiesGlobal Longitudinal StrainHumansMagnetic Resonance Imaging, CineMaleMiddle AgedPrognosisAtrial functionAtrioventricular couplingCMRGlobal longitudinal strainVentricular function

Identifiers

PMID41711211
PMCPMC12988773

What Socratic holds

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Registered trials

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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.