Coronary disease & ACSCohort study

Predictive value of early diastolic mitral annular velocity and body mass index as markers of left ventricular relaxation: validation against invasive time constant of relaxation

Eur Heart J Cardiovasc ImagingPublished

  • cohort

Authors' conclusion

In this cohort, e′ and τ showed only a modest association. LV geometry and BMI were independent contributors to both τ and e′, while age did not significantly affect τ. The determinants of τ and the mean e′ partially overlap and have distinct physiological bases. An increased BMI is associated with impaired LV relaxation.

Study context

Population
Patients with suspected coronary artery disease undergoing left heart catheterisationpatients analysed
Participants
419 patients
Exposure
Mean e′ against invasively measured left ventricular (LV) relaxation time constant

Main finding

As reported in the abstract

Correlation of mean e′ with τ

r

−0.27

P

P < 0.001

Observational data: associations, not effects.

Further findings

Independent determinants of τ (multivariable analysis)

LV end-systolic volume index (LVESVI) β
0.520
LVESVI P
P < 0.001
heart rate β
−0.426
heart rate P
P < 0.001
Body mass index (BMI) β
0.110
BMI P
P = 0.002
mean e′ β
−0.088
mean e′ P
P = 0.019
R2
0.490
Age not an independent determinant of τ

Predictors of e′

age β
−0.467
age P
P < 0.001
LVESVI β
−0.368
LVESVI P
P < 0.001
BMI β
−0.101
BMI P
P = 0.015
R2
0.348
τ did not independently predict e′

Original publication

Predictive value of early diastolic mitral annular velocity and body mass index as markers of left ventricular relaxation: validation against invasive time constant of relaxation. Eur Heart J Cardiovasc Imaging. Published 3 March 2026. doi:10.1093/ehjci/jeag067

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