{"id":"7875fcf27771","type":"article","url":"https://hartvaat.nl/2026/01/08/atriale-strain-overtreft-ventriculaire-strain-bij-detectie-van-hypertensieve-hfp/","title":"Atriale strain overtreft ventriculaire strain bij detectie van hypertensieve HFpEF","title_en":"Atrial Strain Outperforms Ventricular Strain for Detecting Hypertensive HFpEF Using CMR Feature Tracking","category":"hypertensie","category_label":"Hypertensie","professions":["cardioloog"],"tags":[],"journal":"Hypertension","doi":"https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.125.25985","source_url":"https://doi.org/https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.125.25985","authors":["Zhen Wang"],"significance":6,"published":"2026-01-08","source_date":"2026-01-08","image":"","kennis":["https://hartvaat.nl/kennis/hypertensie/eindorgaanschade-hypertensie/","https://hartvaat.nl/kennis/preventie/cardiovasculair-risico-begrippen/"],"congress":"","summary_en":"This study showed that atrial strain measured by CMR feature tracking outperforms ventricular strain for detecting hypertensive HFpEF, advancing imaging-based diagnosis of the atrial component of heart failure.","created":"2026-07-03T10:25:34Z","updated":"2026-07-03T18:38:17Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"HFpEF is verantwoordelijk voor circa 50% van het hartfalen en hypertensie is vaak aanwezig. Hoewel strainbeeldvorming subklinische disfunctie detecteert, was de relatieve diagnostische waarde van atriale versus ventriculaire strain onduidelijk. CMR feature tracking biedt hier uitkomst.","abstract_original":"Hypertension, Volume 83, Issue 4, Page e25985, April 1, 2026. BACKGROUND:Heart failure with preserved ejection fraction (HFpEF) accounts for ≈50% of heart failure, and hypertension often coexists. Although strain imaging detects subclinical dysfunction, the relative diagnostic value of left atrial (LA) versus left ventricular (LV) strain for identifying hypertensive HFpEF remains uncertain. We compared LA and LV strain using cardiac MR feature tracking to determine optimal markers for HFpEF detection.METHODS:A single-center, retrospective study included 191 participants: 71 with HFpEF and hypertension (HFpEF-HTN), 60 with essential hypertension, and 60 controls who underwent cardiac MR. Cardiac MR feature tracking quantified LV global strains and strain rates, and LA reservoir (εs), conduit (εe), and booster pump (εa) strain with corresponding strain rates. One-way ANOVA compared groups, logistic regression identified HFpEF-HTN predictors, and receiver operating characteristic analysis"}