Heart failure & cardiomyopathies

Estimated left ventricular end diastolic pressure by mean left atrial transit time predicts adverse clinical outcome risk

Eur Heart J Cardiovasc ImagingPublished prospective study

Authors' conclusion

Predicted LVEDP by LATT corroborated well with invasive LVEDP and biomarkers that are linked to increased LVEDP and was associated with a significant long-term risk of adverse clinical outcomes.

Study context

Population
Subjects assessed by CMR for mean left atrial transit time, including normal controlssubjects prospectively enrolled, including 15 normal controls, 548 patients divided into Predicted LVEDP (pLVEDP) subgroups, invasive left ventricular end diastolic pressure (LVEDP) subgroup of 46 patients · normal controls 15 · patients divided by pLVEDP 548 · subgroup with invasive LVEDP 46
Participants
563 subjects
Exposure
Elevated pLVEDP vs pLVEDP ≤12 derived mmHg
Outcome
Correlation of predicted LVEDP with invasive LVEDP

Main finding

As reported in the abstract

Pearson's correlation coefficient

0.83

Observational data: associations, not effects.

Further findings

OutcomeAdjusted hazard ratio (95% CI)
Composite outcome (hospitalized heart failure or all-cause death) · mean follow-up of 8.1 ± 3.9 yearspLVEDP 13-18 derived mmHgvs pLVEDP ≤12 derived mmHgElevated pLVEDP was an independent risk factor2.10 (1.30–3.42)
Composite outcome (hospitalized heart failure or all-cause death) · mean follow-up of 8.1 ± 3.9 yearspLVEDP >18 derived mmHgvs pLVEDP ≤12 derived mmHgElevated pLVEDP was an independent risk factor4.33 (2.44–7.68)
Composite outcome (hospitalized heart failure or all-cause death) — subjects developed the composite outcome
99 (18%)

NT-proBNP, LA reservoir strain, LV longitudinal strain by pLVEDP

Higher NT-proBNP with elevated pLVEDP
P < 0.001
Lower LA reservoir strain with elevated pLVEDP
P = 0.001
Lower LV longitudinal strain with elevated pLVEDP
P < 0.001

Composite outcome (hospitalized heart failure or all-cause death) · mean follow-up of 8.1 ± 3.9 years

Patients with pLVEDP ≤12 derived mmHg had excellent event-free survival

Original publication

Estimated left ventricular end diastolic pressure by mean left atrial transit time predicts adverse clinical outcome risk. Eur Heart J Cardiovasc Imaging. Published 26 November 2025. doi:10.1093/ehjci/jeaf313

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