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Normal sex and age-specific parameters in a multi-ethnic population: a cardiovascular magnetic resonance study of the Canadian Alliance for Healthy Hearts and Minds cohort Luu, Judy M.; Gebhard, Catherine; Ramasundarahettige, Chinthanie; Desai, Dipika; Schulze, Karleen; Marcotte, Francois; Awadalla, Philip; Broet, Philippe; Dummer, Trevor J. B.; Hicks, Jason; Larose, Eric; Moody, Alan; Smith, Eric E.; Tardif, Jean-Claude; Teixeira, Tiago; Teo, Koon K.; Vena, Jennifer; Lee, Douglas S.; Anand, Sonia S.; Friedrich, Matthias G.
Abstract
Background Despite the growing utility of cardiovascular magnetic resonance (CMR) for cardiac morphology and function, sex and age-specific normal reference values derived from large, multi-ethnic data sets are lacking. Furthermore, most available studies use a simplified tracing methodology. Using a large cohort of participants without history of cardiovascular disease (CVD) or risk factors from the Canadian Alliance for Healthy Heart and Minds, we sought to establish a robust set of reference values for ventricular and atrial parameters using an anatomically correct contouring method, and to determine the influence of age and sex on ventricular parameters. Methods and results Participants (n = 3206, 65% females; age 55.2 ± 8.4 years for females and 55.1 ± 8.8 years for men) underwent CMR using standard methods for quantitative measurements of cardiac parameters. Normal ventricular and atrial reference values are provided: (1) for males and females, (2) stratified by four age categories, and (3) for different races/ethnicities. Values are reported as absolute, indexed to body surface area, or height. Ventricular volumes and mass were significantly larger for males than females (p < 0.001). Ventricular ejection fraction was significantly diminished in males as compared to females (p < 0.001). Indexed left ventricular (LV) end-systolic, end-diastolic volumes, mass and right ventricular (RV) parameters significantly decreased as age increased for both sexes (p < 0.001). For females, but not men, mean LV and RVEF significantly increased with age (p < 0.001). Conclusion Using anatomically correct contouring methodology, we provide accurate sex and age-specific normal reference values for CMR parameters derived from the largest, multi-ethnic population free of CVD to date. Clinical trial registration ClinicalTrials.gov, NCT02220582. Registered 20 August 2014—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT02220582 .
Item Metadata
Title |
Normal sex and age-specific parameters in a multi-ethnic population: a cardiovascular magnetic resonance study of the Canadian Alliance for Healthy Hearts and Minds cohort
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Creator |
Luu, Judy M.; Gebhard, Catherine; Ramasundarahettige, Chinthanie; Desai, Dipika; Schulze, Karleen; Marcotte, Francois; Awadalla, Philip; Broet, Philippe; Dummer, Trevor J. B.; Hicks, Jason; Larose, Eric; Moody, Alan; Smith, Eric E.; Tardif, Jean-Claude; Teixeira, Tiago; Teo, Koon K.; Vena, Jennifer; Lee, Douglas S.; Anand, Sonia S.; Friedrich, Matthias G.
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Contributor | |
Publisher |
BioMed Central
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Date Issued |
2022-01-03
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Description |
Background
Despite the growing utility of cardiovascular magnetic resonance (CMR) for cardiac morphology and function, sex and age-specific normal reference values derived from large, multi-ethnic data sets are lacking. Furthermore, most available studies use a simplified tracing methodology. Using a large cohort of participants without history of cardiovascular disease (CVD) or risk factors from the Canadian Alliance for Healthy Heart and Minds, we sought to establish a robust set of reference values for ventricular and atrial parameters using an anatomically correct contouring method, and to determine the influence of age and sex on ventricular parameters.
Methods and results
Participants (n = 3206, 65% females; age 55.2 ± 8.4 years for females and 55.1 ± 8.8 years for men) underwent CMR using standard methods for quantitative measurements of cardiac parameters. Normal ventricular and atrial reference values are provided: (1) for males and females, (2) stratified by four age categories, and (3) for different races/ethnicities. Values are reported as absolute, indexed to body surface area, or height. Ventricular volumes and mass were significantly larger for males than females (p < 0.001). Ventricular ejection fraction was significantly diminished in males as compared to females (p < 0.001). Indexed left ventricular (LV) end-systolic, end-diastolic volumes, mass and right ventricular (RV) parameters significantly decreased as age increased for both sexes (p < 0.001). For females, but not men, mean LV and RVEF significantly increased with age (p < 0.001).
Conclusion
Using anatomically correct contouring methodology, we provide accurate sex and age-specific normal reference values for CMR parameters derived from the largest, multi-ethnic population free of CVD to date.
Clinical trial registration
ClinicalTrials.gov, NCT02220582. Registered 20 August 2014—Retrospectively registered,
https://clinicaltrials.gov/ct2/show/NCT02220582
.
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Subject | |
Genre | |
Type | |
Language |
eng
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Date Available |
2022-01-26
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Provider |
Vancouver : University of British Columbia Library
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Rights |
Attribution 4.0 International (CC BY 4.0)
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DOI |
10.14288/1.0406356
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URI | |
Affiliation | |
Citation |
Journal of Cardiovascular Magnetic Resonance. 2022 Jan 03;24(1):2
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Publisher DOI |
10.1186/s12968-021-00819-z
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Peer Review Status |
Reviewed
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Scholarly Level |
Faculty; Researcher
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Copyright Holder |
The Author(s)
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Rights URI | |
Aggregated Source Repository |
DSpace
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Item Media
Item Citations and Data
Rights
Attribution 4.0 International (CC BY 4.0)