Systemic sclerosis & Raynaud's

Risk stratifying systemic sclerosis–related pulmonary hypertension by left atrial strain

Rheumatology (Oxford)Published Retrospective cohort study

Authors' conclusion

Of the three LA GLS clusters, Cluster 3 had the shortest median survival.

Study context

Population
Patients with SSc-related pulmonary hypertension confirmed on right heart catheterization
Participants
124 patients
Exposure
Left atrial (LA) global longitudinal strain (GLS) clusters 2 and 3 vs Cluster 1
  • Cluster 1n = 40reference
  • Cluster 2n = 34
  • Cluster 3n = 50
Outcome
All-cause mortality
Methodological detailsexploratory, single-centre, k-means clustering, Kaplan-Meier and Cox proportional hazards model
  • Exploratory
  • Single-centre
  • K-means clustering
  • Kaplan-Meier and Cox proportional hazards model

Main finding

As reported in the abstract

Each group vs cluster 1Adjusted hazard ratio (95% CI)
Cluster 2
1.46(0.71–2.97)
Cluster 3
2.57(1.32–5.02)
Survival difference between clusters
log-rank P = 0.005

Observational data: associations, not effects.

Original publication

Risk stratifying systemic sclerosis–related pulmonary hypertension by left atrial strain. Rheumatology (Oxford). Published 30 January 2026. doi:10.1093/rheumatology/keag053

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