Table 3 Uni- and multivariate predictors of outcomes based on CMR derived myocardial strain.

From: Systematic review and meta-analysis for the value of cardiac magnetic resonance strain to predict cardiac outcomes

Study

Myocardial strain and selected cut-off values

Univariate analysis

Multivariate analysis

Korosoglou et al. 201118

– Visual SENC analysis (strain defect present or absent)

– Strain reserve cut-off value = 0.94

– Strain rate reserve cut-off value = 1.75

Visual SENC, strain reserve and strain rate reserve enable diagnostic of anatomically relevant CAD and predict MACE (p < 0.001 for all)

– Visual SENC outperforms wall WMA for the prediction of outcomes

– Visual and quantitative strain (strain rate reserve) provides incremental value to WMA for MACE prediction

Choi et al. 201322

– Mid- and global Ecc

– Mid Ecc < − 16.9%

Both Eccglobal and Eccmid predict HF (p < 0.001 for both)

– Adjusted for age, diabetes, hypertension LV mass index, ejection fraction, interim myocardial infarction and end systolic wall stress Eccglobal and Eccmid both predicted HF (pglobal = 0.047 and pmid = 0.015)

– In second multivariable model without diabetes, LV ejection fraction and end systolic wall stress both Eccglobal and Eccmid remain statistically significant (pglobal = 0.045 and pmid = 0.007)

Sharma et al. 201423

– LV Dyssynchrony based on SDTPEcc as a predictor for MACE

Cut-off = 75th percentile of SD-TPS

Separate analysis conducted by genders is provided

In women SDTPEcc predicted MI, HF, stroke, and death (p < 0.001), hard coronary events including MI, resuscitated cardiac arrest and CAD related death (p = 0.008), all-cause CAD (p = 0.002) and stroke or transient ischemic attack (p = 0.002). In men the results were not statistically significant

When adjusted for multiple parameters, SDTPEcc in women predicted MI, HF, stroke, and death (p = 0.015), hard coronary events including MI, resuscitated cardiac arrest and CAD related death (p = 0.026), stroke or transient ischemic attack (p = 0.013) but not all-cause CAD (p = 0.108). In men the results were not statistically significant

Venkatesh et al. 201424

– The logarithm (Log) of SRI and EDSR

Log(SRI) tertiles used as cut-off values

Log(SRI) was statistically significant for the prediction of HF and/or atrial fibrillation (AF) (p < 0.001). No further report is applicable due to lack of p-values in the results

No further report is applicable due to lack of p-values in the results

Mordi et al. 201525

– Eccglobal (three groups based on two cut-offs values = − 11.21% and − 15.0%

Eccglobal predicted MACE (p < 0.001)

Eccglobal predicted MACE (p = 0.041) in whole population sample as well as in patients (N = 90) with cardiomyopathy or prior MI (p = 0.007)

Korosoglou et al. 202119

– Normal myocardium based on percentage of segments with Ecc and longitudinal strain with a cut-off value of < − 17%

Prediction of hospitalization due to HF congestion and all-cause mortality in stage A and B HF patients with normal myocardium < 80% (p = 0.03) as well as of transition to incident HF (p < 0.001)

Not available

Steen et al. 202120

Quantitative SAS (cut-off value = 6.5%)

Statistically significant for the primary endpoint with (p = 0.002)

Not available

Pezel et al. 202226

Endo-, epi-, mid- and intramyocardial score of Ecc < 50% (based on − 10% and − 17% as cut-off values)

Strain from all segments (mid-, epi- and intra- p < 0.001 and endo p = 0.13) predicted HF incidence, as well as was congestive HF, MI, aborted sudden cardiac death and death due to CAD (p < 0.001 for all)

The epi-, mid- and intramyocardial score (pendo = 0.56, pmid = 0.004, pepi < 0.001, pintra < 0.001) predicted HF incidence, as well as of congestive HF, MI, aborted sudden cardiac death and death due to CAD by all layers (pendo = 0.04, pmid < 0.001, pepi < 0.001, pintra < 0.001) after adjustment of cardiovascular risk factors

After further adjustment for heart-related medications the p-value remained statistically significant for all layers (p < 0.001)

  1. WMA wall motion analysis, Ecc circumferential strain, HF heart failure, LV left ventricular, SDTPEcc time to peak systolic Ecc, MI myocardial infarction, CAD coronary artery disease, SAS segmental aggregate strain.