Left atrial structure and function are associated with cardiovascular outcomes independent of left ventricular measures: a UK Biobank CMR study. (Record no. 956)

MARC details
000 -LEADER
fixed length control field 03296nam a22003497a 4500
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fixed length control field 220124s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2047-2404
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1093/ehjci/jeab266 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 6462016 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34907415
245 ## - TITLE STATEMENT
Title Left atrial structure and function are associated with cardiovascular outcomes independent of left ventricular measures: a UK Biobank CMR study.
251 ## - Source
Source European heart journal cardiovascular Imaging. 2021 Dec 15
252 ## - Abbreviated Source
Abbreviated source Eur Heart J Cardiovasc Imaging. 2021 Dec 15
253 ## - Journal Name
Journal name European heart journal. Cardiovascular Imaging
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
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Manufacturer FY2022
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Publication date 2021 Dec 15
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2022-01-25
520 ## - SUMMARY, ETC.
Abstract AIMS: We evaluated the associations of left atrial (LA) structure and function with prevalent and incident cardiovascular disease (CVD), independent of left ventricular (LV) metrics, in 25 896 UK Biobank participants.
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Abstract CONCLUSION: LA structure and function measures (LAEF and LAV) demonstrate significant associations with key prevalent and incident cardiovascular outcomes, independent of LV metrics. These measures have potential clinical utility for disease discrimination and outcome prediction. Copyright (c) The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.
520 ## - SUMMARY, ETC.
Abstract METHODS AND RESULTS: We estimated the association of cardiovascular magnetic resonance (CMR) metrics [LA maximum volume (LAV), LA ejection fraction (LAEF), LV mass : LV end-diastolic volume ratio (LVM : LVEDV), global longitudinal strain, and LV global function index (LVGFI)] with vascular risk factors (hypertension, diabetes, high cholesterol, and smoking), prevalent and incident CVDs [atrial fibrillation (AF), stroke, ischaemic heart disease (IHD), myocardial infarction], all-cause mortality, and CVD mortality. We created uncorrelated CMR variables using orthogonal principal component analysis rotation. All five CMR metrics were simultaneously entered into multivariable regression models adjusted for sex, age, ethnicity, deprivation, education, body size, and physical activity. Lower LAEF was associated with diabetes, smoking, and all the prevalent and incident CVDs. Diabetes, smoking, and high cholesterol were associated with smaller LAV. Hypertension, IHD, AF (incident and prevalent), incident stroke, and CVD mortality were associated with larger LAV. LV and LA metrics were both independently informative in associations with prevalent disease, however LAEF showed the most consistent associations with incident CVDs. Lower LVGFI was associated with greater all-cause and CVD mortality. In secondary analyses, compared with LVGFI, LV ejection fraction showed similar but less consistent disease associations.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
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Medline publication type Journal Article
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Local Authors Vargas, Jose D
790 ## - Authors
All authors Aung N, Condurache D, Harvey NC, McCracken C, Munroe PB, Naderi H, Neubauer S, Petersen SE, Raisi-Estabragh Z, Vargas JD
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1093/ehjci/jeab266">https://dx.doi.org/10.1093/ehjci/jeab266</a>
Public note https://dx.doi.org/10.1093/ehjci/jeab266
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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          MedStar Authors Catalog MedStar Authors Catalog 01/25/2022   34907415 34907415 01/25/2022 01/25/2022 Journal Article

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