Cohort study

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

JACC Cardiovasc ImagingPublished

  • Prospective cohort study
  • population cohort

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

Main finding

As reported in the abstract

Incident events and mortality, per SD increment of native T1 · 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

Per SD increment of native T1, as printed

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

Summarised from the published abstract; every number is checked against it