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