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October 1, 2018Circulation Cardiovascular Imaging

Prognostic Importance of Left Ventricular Mechanical Dyssynchrony in Predicting Cardiovascular Death in the General Population

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Why the study?

Does left ventricular mechanical dyssynchrony predict cardiovascular death in the general population?

Population

1,138 participants from the general population without atrial fibrillation and significant valvular disease.

Design

Cohort

Follow-up

median 11.1 years (interquartile range: 10.2-11.3 years)

Key result

Left ventricular mechanical dyssynchrony independently predicted cardiovascular death in the general population (HR 1.04 per 10-ms increase; 95% CI 1.01-1.06; P=0.004).

Authors

DMDaniel ModinSBSofie Biering‐SørensenRMRasmus Møgelvang

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Overview

May enhance risk stratification beyond standard scores; leaves open whether assessment should guide therapy in the general population.

Study Design

Type

Cohort (n=1,138)

Structured PICO

Does left ventricular mechanical dyssynchrony predict cardiovascular death in the general population?

P
Population
1,138 participants from the general population without atrial fibrillation and significant valvular disease, followed for a median of 11.1 years.
E
Exposure
Echocardiographic assessment of left ventricular mechanical dyssynchrony (LVMD) evaluated as standard deviation of time to peak regional longitudinal strain.
O
Outcome
Cardiovascular death (CVD)hard clinical

Main Result

Hazard Ratio: 1.04 (95% CI 1.01–1.06)

p-value: p=0.004

Left ventricular mechanical dyssynchrony assessed by echocardiography provides incremental prognostic value for predicting cardiovascular death in the general population beyond established risk scores.

Cite This Study

Modin et al. (2018) conducted a cohort in General population (n=1,138). Left ventricular mechanical dyssynchrony (LVMD) was evaluated on Cardiovascular death (CVD) (HR 1.04, 95% CI 1.01-1.06, p=0.004). Left ventricular mechanical dyssynchrony independently predicted cardiovascular death in the general population (HR 1.04 per 10-ms increase; 95% CI 1.01-1.06; P=0.004).

synapsesocial.com/papers/6a9ed3746ad0977eb91cd946https://doi.org/10.1161/circimaging.117.007528
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