Relationship between left ventricular shape and cardiovascular risk factors: comparison between the Multi-Ethnic Study of Atherosclerosis and UK Biobank Article Swipe
Avan Suinesiaputra
,
Kathleen Gilbert
,
Charlène Mauger
,
David A. Bluemke
,
Colin O. Wu
,
Nay Aung
,
Stefan Neubauer
,
Stefan K. Piechnik
,
Steffen E. Petersen
,
João A.C. Lima
,
Bharath Ambale‐Venkatesh
,
Alistair A. Young
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1136/heartjnl-2024-324658
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1136/heartjnl-2024-324658
Background Statistical shape atlases have been used in large-cohort studies to investigate relationships between heart shape and risk factors. The generalisability of these relationships between cohorts is unknown. The aims of this study were to compare left ventricular (LV) shapes in patients with differing cardiovascular risk factor profiles from two cohorts and to investigate whether LV shape scores generated with respect to a reference cohort can be directly used to study shape differences in another cohort. Methods Two cardiac MRI cohorts were included: 2106 participants (median age: 65 years, 54% women) from the Multi-Ethnic Study of Atherosclerosis (MESA) and 2960 participants (median age: 64 years, 52% women) from the UK Biobank (UKB) study. LV shape atlases were constructed from 3D LV models derived from expert-drawn contours from separate core labs. Atlases were considered generalisable for a risk factor if the area under the receiver operating characteristic curves (AUC) were not significantly different (p>0.05) between internal (within-cohort) and external (cross-cohort) cases. Results LV mass and volume indices were differed significantly between cohorts, even in age-matched and sex-matched cases without risk factors, partly reflecting different core lab analysis protocols. For the UKB atlas, internal and external discriminative performance were not significantly different for hypertension (AUC: 0.77 vs 0.76, p=0.37), diabetes (AUC: 0.79 vs 0.77, p=0.48), hypercholesterolaemia (AUC: 0.76 vs 0.79, p=0.38) and smoking (AUC: 0.69 vs 0.67, p=0.18). For the MESA atlas, diabetes (AUC: 0.79 vs 0.74, p=0.09) and hypercholesterolaemia (AUC: 0.75 vs 0.70, p=0.10) were not significantly different. Both atlases showed significant differences for obesity. Conclusions The MESA and UKB atlases demonstrated good generalisability for diabetes and hypercholesterolaemia, without requiring corrections for differences in mass and volume. Significant differences in obesity may be due to different relationships between obesity and heart shapes between cohorts.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/heartjnl-2024-324658
- https://heart.bmj.com/content/heartjnl/early/2025/01/15/heartjnl-2024-324658.full.pdf
- OA Status
- hybrid
- Cited By
- 1
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4406462944
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4406462944Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1136/heartjnl-2024-324658Digital Object Identifier
- Title
-
Relationship between left ventricular shape and cardiovascular risk factors: comparison between the Multi-Ethnic Study of Atherosclerosis and UK BiobankWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-01-16Full publication date if available
- Authors
-
Avan Suinesiaputra, Kathleen Gilbert, Charlène Mauger, David A. Bluemke, Colin O. Wu, Nay Aung, Stefan Neubauer, Stefan K. Piechnik, Steffen E. Petersen, João A.C. Lima, Bharath Ambale‐Venkatesh, Alistair A. YoungList of authors in order
- Landing page
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https://doi.org/10.1136/heartjnl-2024-324658Publisher landing page
- PDF URL
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https://heart.bmj.com/content/heartjnl/early/2025/01/15/heartjnl-2024-324658.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
- OA URL
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https://heart.bmj.com/content/heartjnl/early/2025/01/15/heartjnl-2024-324658.full.pdfDirect OA link when available
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Biobank, Medicine, Ethnic group, Cardiology, Internal medicine, Bioinformatics, Biology, Sociology, AnthropologyTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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27Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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