PMID- 35906156 OWN - NLM STAT- MEDLINE DCOM- 20220907 LR - 20220907 IS - 1875-2128 (Electronic) IS - 1875-2128 (Linking) VI - 115 IP - 8-9 DP - 2022 Aug-Sep TI - Determinants of left atrioventricular coupling index: The Multi-Ethnic Study of Atherosclerosis (MESA). PG - 414-425 LID - S1875-2136(22)00134-6 [pii] LID - 10.1016/j.acvd.2022.04.011 [doi] AB - BACKGROUND: Recent studies have described a novel left atrioventricular coupling index (LACI), which had a better prognostic value in predicting cardiovascular events than individual left atrial (LA) or left ventricular (LV) variables. AIMS: To identify determinants of LACI and its 10-year annual change (DeltaLACI), measured by cardiac magnetic resonance (CMR), and to better understand the variables governing this left atrioventricular coupling. METHODS: In the Multi-Ethnic Study of Atherosclerosis, 2112 study participants, free from cardiovascular disease at baseline, had LACI assessed by CMR imaging at baseline (LACI(Baseline); 2000-2002) and 10 years later (2010-2012). The LACI was defined as the ratio of LA to LV end-diastolic volumes. Linear regression analyses were performed to identify independent determinants of LACI(Baseline) and DeltaLACI. RESULTS: In the 2112 participants (mean age 58.8+/-9.1 years; 46.6% male), after adjustment for all covariates, age was independently associated with LACI(Baseline) (R(2)=0.10, slope=0.16) and DeltaLACI (R(2)=0.15, slope=0.008; both P<0.001). African Americans had the highest LACI(Baseline) value (18.0+/-7.7%). Although there was no difference in LACI(Baseline) between women and men (P=0.19), DeltaLACI was higher in women (1.0+/-1.1 vs 0.8+/-1.1%/year; P<0.001). Diabetes and higher body mass index (BMI) were independently associated with LACI(Baseline) (both P<0.001). LACI(Baseline) was independently associated with LV myocardial fibrosis markers (native T1: R(2)=0.11, slope=0.09 [P=0.038]; extracellular volume: R(2)=0.08, slope=0.28 [P=0.035]) and N-terminal prohormone of B-type natriuretic peptide (NT-proBNP) concentration (R(2)=0.10, slope=-1.11; P<0.001), but was not associated with interleukin 6 or high-sensitivity C-reactive protein. CONCLUSIONS: Age, sex, ethnicity, diabetes and BMI were independent determinants of LACI. LACI was independently associated with myocardial fibrosis markers and NT-proBNP concentration. CI - Copyright (c) 2022 Elsevier Masson SAS. All rights reserved. FAU - Pezel, Theo AU - Pezel T AD - Division of Cardiology, Johns Hopkins Hospital, School of Medicine, Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA; Department of Cardiology, Lariboisiere Hospital, AP-HP, INSERM UMRS 942, University of Paris, 75010 Paris, France. FAU - Venkatesh, Bharath Ambale AU - Venkatesh BA AD - Division of Cardiology, Johns Hopkins Hospital, School of Medicine, Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA. FAU - Vasconcellos, Henrique Doria De AU - Vasconcellos HD AD - Division of Cardiology, Johns Hopkins Hospital, School of Medicine, Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA. FAU - Kato, Yoko AU - Kato Y AD - Division of Cardiology, Johns Hopkins Hospital, School of Medicine, Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA. FAU - Post, Wendy S AU - Post WS AD - Division of Cardiology, Johns Hopkins Hospital, School of Medicine, Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA. FAU - Wu, Colin O AU - Wu CO AD - Division of Intramural Research, National Heart, Lung, and Blood Institute, Bethesda, MD 20892, USA. FAU - Heckbert, Susan R AU - Heckbert SR AD - Department of Epidemiology, University of Washington, Seattle, WA 98195, USA. FAU - Bluemke, David A AU - Bluemke DA AD - University of Wisconsin School of Medicine and Public Health, Madison, WI 53726, USA. FAU - Cohen-Solal, Alain AU - Cohen-Solal A AD - Department of Cardiology, Lariboisiere Hospital, AP-HP, INSERM UMRS 942, University of Paris, 75010 Paris, France. FAU - Logeart, Damien AU - Logeart D AD - Department of Cardiology, Lariboisiere Hospital, AP-HP, INSERM UMRS 942, University of Paris, 75010 Paris, France. FAU - Henry, Patrick AU - Henry P AD - Department of Cardiology, Lariboisiere Hospital, AP-HP, INSERM UMRS 942, University of Paris, 75010 Paris, France. FAU - Lima, Joao A C AU - Lima JAC AD - Division of Cardiology, Johns Hopkins Hospital, School of Medicine, Johns Hopkins University, 600 North Wolfe Street, Baltimore, MD 21287, USA. Electronic address: jlima@jhmi.edu. LA - eng PT - Journal Article DEP - 20220716 PL - Netherlands TA - Arch Cardiovasc Dis JT - Archives of cardiovascular diseases JID - 101465655 RN - 0 (Biomarkers) SB - IM MH - Aged MH - *Atherosclerosis MH - Biomarkers MH - *Diabetes Mellitus MH - Ethnicity MH - Female MH - Fibrosis MH - Heart Ventricles MH - Humans MH - Male MH - Middle Aged OTO - NOTNLM OT - Cardiac magnetic resonance OT - Couplage OT - Coupling OT - Imagerie par resonance magnetique cardiaque OT - Left atrium OT - Left ventricle OT - Multi-Ethnic Study of Atherosclerosis (MESA) OT - Oreillette gauche OT - Ventricule gauche OT - Etude Multi-Ethnique de l'Atherosclerose (MESA) EDAT- 2022/07/30 06:00 MHDA- 2022/09/08 06:00 CRDT- 2022/07/29 22:05 PHST- 2021/12/31 00:00 [received] PHST- 2022/04/11 00:00 [revised] PHST- 2022/04/11 00:00 [accepted] PHST- 2022/07/30 06:00 [pubmed] PHST- 2022/09/08 06:00 [medline] PHST- 2022/07/29 22:05 [entrez] AID - S1875-2136(22)00134-6 [pii] AID - 10.1016/j.acvd.2022.04.011 [doi] PST - ppublish SO - Arch Cardiovasc Dis. 2022 Aug-Sep;115(8-9):414-425. doi: 10.1016/j.acvd.2022.04.011. Epub 2022 Jul 16.