Higher hemoglobin levels are associated with impaired left ventricular global strains in metabolic syndrome: a 3.0 T CMR feature tracking study

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Title: Higher hemoglobin levels are associated with impaired left ventricular global strains in metabolic syndrome: a 3.0 T CMR feature tracking study
Authors: Xue Li, Shi-Qin Yu, Zhi-Gang Yang, Bi-Yue Hu, Ke Shi, Jing Wang, Xue-Ming Li, Ge Zhang, Wen-Rong Li, Rong Xu, Yuan Li
Source: Cardiovascular Diabetology, Vol 24, Iss 1, Pp 1-11 (2025)
Publisher Information: BMC, 2025.
Publication Year: 2025
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: Cardiac magnetic resonance, Hemoglobin levels, Left ventricular strain, Metabolic syndrome, Obesity, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Abstract Background Metabolic syndrome (MetS) is a known contributor to increased cardiovascular risk and all-cause mortality. Recent literatures suggested that higher hemoglobin (Hb) levels were associated with Mets, left ventricular (LV) dysfunction and adverse events in general population. This study aimed to assess the associations between Hb levels and LV global strains in patients with MetS. Methods A retrospective analysis included 254 patients with MetS and 78 sex-, age-, and Hb-matched controls. The MetS patients were stratified into five groups based on Hb levels: anemia, low-normal Hb, moderate-normal Hb, high-normal Hb, and high Hb. LV global radial, circumferential, and longitudinal strains (LVGRS, LVGCS, and LVGLS, respectively) were measured using the cardiac magnetic resonance feature tracking technique. Associations between Hb levels and LV global strains were evaluated using multiple linear regression, restricted cubic spline (RCS), and subgroup analyses. Results After full adjustment, the LV global strains from three directions in the high Hb groups (LVGRS: β = − 4.943, 95% CI − 7.673 to − 2.213; LVGCS: β = − 2.341, 95% CI − 3.608 to − 1.074; LVGLS: β = −2.797, 95% CI − 4.049 to − 1.546, all p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1475-2840
Relation: https://doaj.org/toc/1475-2840
DOI: 10.1186/s12933-025-02664-1
Access URL: https://doaj.org/article/8fa20f011dc341908f9b7df319e00468
Accession Number: edsdoj.8fa20f011dc341908f9b7df319e00468
Database: Directory of Open Access Journals
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ISSN:14752840
DOI:10.1186/s12933-025-02664-1
Published in:Cardiovascular Diabetology
Language:English