Key result
In critically ill patients, MAPSE outperformed global longitudinal strain and demonstrated a stronger independent association with 90-day mortality (aOR 1.17 per mm decrease).
Odds Ratio: 1.17 (95% CI 1.06–1.3)
p-value: p=0.002
M-mode parameters such as MAPSE and fractional shortening may offer superior feasibility and prognostic value over 2D-speckle tracking global longitudinal strain for bedside assessment of critically ill patients with hyperdynamic septic shock.
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Gasca-Aldama et al. (2026) conducted a letter in Critical illness (n=368). Mitral annular plane systolic excursion (MAPSE) vs. Global longitudinal strain (GLS) was evaluated on 90-day mortality (aOR 1.17, 95% CI 1.06-1.30, p=0.002). In critically ill patients, MAPSE outperformed global longitudinal strain and demonstrated a stronger independent association with 90-day mortality (aOR 1.17 per mm decrease).
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