Heart failure & cardiomyopathies

Layer myocardial strain is the most heritable echocardiographic trait

Eur Heart J Cardiovasc ImagingPublished Population-based familial cohort study

Authors' conclusion

In our population cohort, GLSEndo/GLSEpi ratio had a high level of heritability, whereas other classical and mechanical LV function parameters did not.

Study context

Population
Initially healthy subjects of the longitudinal familial STANISLAS cohort (Lorraine, France), 20-year follow-up after the fourth visitwomen 51.6%
Participants
1,357 subjects
Outcome
Heritability of echocardiographic cardiac mechanics indices (layer-specific global longitudinal strain (GLS) and global circumferential strain) and conventional structural and functional cardiac parameters
Methodological detailsheritability analysis, longitudinal familial cohort, restricted maximum likelihood analysis, genetic relatedness matrix from genome-wide association data, Echocardiography per EACVI/ASE/Industry Task Force acquisition and measurement protocols
  • Heritability analysis
  • Longitudinal familial cohort
  • Restricted maximum likelihood analysis
  • Genetic relatedness matrix from genome-wide association data
  • Echocardiography per EACVI/ASE/Industry Task Force acquisition and measurement protocols

Main finding

As reported in the abstract

Heritability of echocardiographic traits
GLSEndo/GLSEpi ratio heritability (high)
65%
Longitudinal/circumferential myocardial function indices and LVEF heritability (low)
10% to 20%
Diastolic and standard left ventricular (LV) function parameters heritability (moderate)
20% to 30%
End-systolic volume heritability
30%
End-diastolic volume heritability
45%
Unexplained variance, all traits except GLSEndo/GLSEpi ratio
>50%

Observational data: associations, not effects.

Original publication

Layer myocardial strain is the most heritable echocardiographic trait. Eur Heart J Cardiovasc Imaging. Published 23 June 2023. doi:10.1093/ehjci/jead146

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