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However, there are no data available on RV\/LV T2-ratio after ST-segment elevation myocardial infarction (STEMI). Our aim was to investigate the prognostic value of RV\/LV T2-ratio for the development of newly diagnosed congestive heart failure (CHF) post-STEMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Six hundred four patients were enrolled after revascularized first-time STEMI; all patients underwent CMR within four days afterwards (interquartile range (IQR) 2\u20135). T2 relaxation times were measured in the RV and LV blood pool on short-axis T2-maps; T2-ratio was calculated as T2\n                      <jats:sub>RV<\/jats:sub>\n                      \/T2\n                      <jats:sub>LV<\/jats:sub>\n                      . Telephonic follow-ups were performed at a median observation interval of 3.0 years. CHF was defined as cardiac decompensation symptoms requiring i.v. diuretics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median T2-ratio was 73% (IQR 65\u201380) and significantly lower in patients with newly diagnosed CHF (69% vs. 73%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019). Dichotomized at 60% (10th percentile), patients with a reduced T2-ratio experienced CHF significantly more often (19% vs. 6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and sooner (55 vs. 485 days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and were significantly older, had larger infarcts, higher peak troponin T, N-terminal pro-brain natriuretic peptide (NT-proBNP), lower LV-\/RV-ejection fraction, and more commonly microvascular injuries (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). In logistic regression, T2-ratio\u2009&lt;\u200960% emerged as an independent prognostic marker in multiparametric models including classic CHF risk factors. Addition of RV\/LV T2-ratio to NT-proBNP resulted in a net reclassification improvement of 0.32 (95% CI 0.06\u20130.57,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.016).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CMR-derived RV\/LV T2-ratio is an easily applicable tool bearing prognostic potential for CHF after STEMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphical Abstract<\/jats:title>\n                    <jats:p>In patients with acute revascularized STEMI, the ventricular blood pool T2-ratio was shown to be an independent prognostic marker of congestive heart failure in the aftermath of the initial hospitalization. CHF: congestive heart failure, LV: left ventricular, RV: right ventricular, PCI: percutaneous coronary intervention, STEMI: ST-elevation myocardial infarction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00392-026-02868-9","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T07:56:47Z","timestamp":1771315007000},"page":"1819-1830","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reduced right\/left ventricular blood pool T2-ratio predicts congestive heart failure after STEMI"],"prefix":"10.1007","volume":"115","author":[{"given":"Felix","family":"Troger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Pamminger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Tiller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Holzknecht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Lechner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Kaser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Lungenschmid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramona","family":"Popa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fritz","family":"Oberhollenzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Reindl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Metzler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian J.","family":"Reinstadler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9363-873X","authenticated-orcid":false,"given":"Agnes","family":"Mayr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,17]]},"reference":[{"key":"2868_CR1","doi-asserted-by":"publisher","first-page":"222","DOI":"10.1002\/ehf2.13144","volume":"8","author":"D Jenca","year":"2021","unstructured":"Jenca D, Melenovsky V, Stehlik J et al (2021) Heart failure after myocardial infarction: incidence and predictors. 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