Heart failure & cardiomyopathies

Incident Clinical and Mortality Associations of Myocardial Native T1 in the UK Biobank

JACC Cardiovasc ImagingPublished Prospective cohort study

Authors' conclusion

This large population study demonstrates the utility of myocardial native T1-mapping for disease discrimination and outcome prediction.

Study context

Population
UK Biobank participants with CMR native T1-mapping
Participants
42,308 participants
Exposure
Per SD increment of myocardial native T1
Outcome
Incident events (incident diseases and mortality) per SD increment of native T1
Follow-up
3.17 ± 1.53 years
Methodological detailspopulation cohort
  • Population cohort

Main finding

As reported in the abstract

3.17 ± 1.53 years
Native T1Hazard ratio (95% CI)P value
Incident AF
1.25(1.10–1.43)
P = 9.19 × 10-4
Incident HF
1.47(1.31–1.65)
P = 4.79 × 10-11
All-cause mortality
1.24(1.12–1.36)
P = 1.51 × 10-5
CVD mortality
1.40(1.14–1.73)
P = 0.0014
IHD mortality
1.36(1.03–1.80)
P = 0.0310

Observational data: associations, not effects.

Further findings

Prevalent conditions, per SD increment of native T1

Strongest relationship: HF, OR
1.41 (95% CI: 1.26-1.57; P = 1.60 × 10-9)
Strongest relationship: nonischemic cardiomyopathies, OR
1.40 (95% CI: 1.16-1.66; P = 2.42 × 10-4)
Higher myocardial T1 associated with greater odds of prevalent conditions (eg, any CVD, brain disease, HF, nonischemic cardiomyopathies, AF, stroke, DM)
  • Corrected P values

Original publication

Incident Clinical and Mortality Associations of Myocardial Native T1 in the UK Biobank. JACC Cardiovasc Imaging. Published 14 September 2022. doi:10.1016/j.jcmg.2022.06.011

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