Strain may reflect cardiac segments with high coronary artery calcium score and the risk of myocadiac ischemia

Preclinical disease is primarily assessed through the coronary artery calcium score (CACS) and used for risk assessment. Our study demonstrated that the moderate correlation of the CACS and strain, suggesting atrial or ventricular myocardium and vascular changes influence each other. In addition, there were statistically different strain values between CAD and non-CAD patients. Strain analysis for cine CMR can add functional information such as chamber wall movement on early prediction of myocardium abnormities like myocadiac ischemia and be beneficial to patients who receive one-stop check-ups for less imaging time, no contrast, and radiation-free screening.