Heart failure & cardiomyopathies

Development and Validation of a Noninvasive Model of Mixed Venous Oxygen Saturation in Heart Failure

JACC AdvPublished Development and Validation of a Noninvasive Model

Performance · All-cause mortality or heart failure hospitalizationResult — go to the resultHazard ratio 0.66 10% change in iSvO2 95% CI 0.54–0.81

Authors' conclusion

The CMR iSvO2, measured from simple T2 maps of left and right ventricular blood pool, allows accurate estimation of the invasive SvO2. In a real-world heart failure registry, iSvO2 is an independent predictor of mortality and heart failure hospitalization.

Study context

Population
Patients with heart failure; discovery cohort undergoing cardiovascular magnetic resonance (CMR) T2 mapping and invasive right heart catheterization; validation cohort with recently diagnosed heart failurediscovery cohort N = 30 · validation cohort 628
Participants
30 vs 628
Comparison
iSvO2 against invasive mixed venous oxygen saturation
  • Discovery cohortn = 30
  • Validation cohortn = 628
Outcome
all-cause mortality or heart failure hospitalization
Follow-up
Median 3 years [IQR: 1.5-4.8]

Performance

As reported in the abstract

Hazard ratio

0.66 10% change in iSvO2

95% CI 0.54–0.81

P < 0.001

iSvO2
HR 0.66 10% change in iSvO2 (95% CI 0.54–0.81); P < 0.001

Further findings

Correlation of RV blood pool T2/LV blood pool T2 ratio with invasive mixed venous oxygen saturation

R
0.82; 95% CI: 0.66-0.91; P < 0.001
Equation
iSvO2 = 95·(RV-T2BP/LV-T2BP)
  • Discovery cohort

Original publication

Development and Validation of a Noninvasive Model of Mixed Venous Oxygen Saturation in Heart Failure. JACC Adv. Published January 2026. doi:10.1016/j.jacadv.2025.102484

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