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May 10, 2026Journal of Magnetic Resonance Imaging

Right Heart Strain in Acute Myocardial Infarction: Toward an Integrated Atrioventricular Perspective

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Why the study?

Risk stratification after AMI has traditionally focused on LV dysfunction, while right heart myocardial deformation—particularly RA strain—remains limited and overlooked.

Design

Editorial

Key result

Incorporating right atrial and right ventricular strain parameters into post-AMI risk models may improve risk discrimination and refine the identification of patients at high risk for adverse outcomes.

Authors

LDLiya DaiCLChenying Lu

Discussion

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Overview

Should incorporate RV assessment into post-AMI risk stratification; extends LV-only models with randomized CMR evidence.

Key Points

  • This research aims to evaluate the role of right heart strain metrics in risk stratification after acute myocardial infarction.
  • Assessment of right ventricular and right atrial strain metrics using feature tracking techniques.
  • Integration of hemodynamic parameters to analyze right-sided diastolic function and atrioventricular coupling.
  • Comparison of right heart strain parameters with traditional left ventricular dysfunction metrics.
  • Right atrial conduit strain serves as an integrative marker of diastolic dysfunction, indicating early changes before overt right ventricular impairment.
  • Incorporating right heart strain metrics may improve cardiovascular risk discrimination and patient identification for adverse outcomes.
  • Challenges include the need for standardized protocols and prospective validation in diverse populations before clinical integration.

PICO

P
Population
Acute Myocardial Infarction
I
Intervention / Comparator
Right heart strain assessment

Incorporating right heart strain parameters, particularly right atrial and right ventricular deformation via cardiac MRI, may improve post-AMI risk stratification beyond traditional left ventricular indices.

Limitations

  • Standardization of acquisition and analysis protocols is needed to ensure reproducibility across centers and vendors.
  • Prospective validation in diverse populations is required to establish generalizability and clinical utility.
  • Interventional investigations are needed to determine whether right heart strain-guided strategies can improve outcomes.

Cite This Study

Dai et al. (2026) conducted an editorial in Acute Myocardial Infarction. Right heart strain assessment was evaluated. Incorporating right atrial and right ventricular strain parameters into post-AMI risk models may improve risk discrimination and refine the identification of patients at high risk for adverse outcomes.

synapsesocial.com/papers/6a00217ac8f74e3340f9c667https://doi.org/10.1002/jmri.70353
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