{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:42:55Z","timestamp":1787586175801,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Imaging"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>2D-speckle tracking echocardiography may help detect subclinical ventricular dysfunction, but data in multisystem inflammatory syndrome in children (MIS-C) are scarce. We investigated left ventricular (LV) strain parameters in MIS-C and their association with outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS:<\/jats:title>\n            <jats:p>We performed an ambi-directional, 32-center cohort study on hospitalized patients with MIS-C (March 2020\u2013November 2021) with at least 1 echocardiogram read by the Core Lab. Generalized estimating equation modeling was used to test associations between LV strain and a composite in-hospital adverse cardiovascular outcome (vasoactive support, arrhythmias, cardiac arrest, extracorporeal support, death, or heart transplant).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS:<\/jats:title>\n            <jats:p>\n              Of 349 patients (median age, 8.7 years [interquartile range, 5.3\u201312.9]), 35% had decreased LV ejection fraction during hospitalization, and 45% had depressed LV strain (either 4-chamber LV longitudinal strain [4CH-LVLS] or mid-ventricular LV circumferential strain [mid-LVCS]). The worst 4CH-LVLS and mid-LVCS occurred at \u22485 days of illness; 50% of abnormal LV strain normalized within 1 week, and 95% within 50 days. In-hospital adverse outcomes occurred in 35% of patients; these patients were older (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.003) and, at admission, had more likely abnormal troponin (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              &lt;0.001) higher C-reactive protein (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              &lt;0.001), higher indexed LV end-diastolic volume (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              &lt;0.001) and mass (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.015), worse LV ejection fraction (\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              &lt;0.001), and worse LV strain (4CH-LVLS,\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.002; mid-LVCS,\n              <jats:italic toggle=\"yes\">P<\/jats:italic>\n              =0.001). Covariate-adjusted individual models for each strain parameter showed that 4CH-LVLS (adjusted odds ratio, 1.09 [95% CI, 1.07\u20131.12]), mid-LVCS (adjusted odds ratio, 1.06 [95% CI, 1.04\u20131.09]), worst LV strain\n              <jats:italic toggle=\"yes\">Z<\/jats:italic>\n              score between 4CH-LVLS and mid-LVCS (adjusted odds ratio, 1.30 [95% CI, 1.21\u20131.41]), and early diastolic longitudinal strain rate (adjusted odds ratio, 1.68 [95% CI, 1.26\u20132.23]) at admission were found to be associated with adverse outcomes.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>\n              About half of patients with MIS-C had abnormal LV strain during hospitalization. 4CH-LVLS, mid-LVCS, the most abnormal strain\n              <jats:italic toggle=\"yes\">Z<\/jats:italic>\n              score, and early diastolic longitudinal strain rate at admission were independently associated with in-hospital adverse cardiovascular outcome. These data may help early characterization and prognostication in MIS-C.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circimaging.124.017620","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T09:00:30Z","timestamp":1756890030000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["2D Speckle Tracking Strain Echocardiography in Multisystem Inflammatory Syndrome in Children: A Multicenter Analysis From the MUSIC Study"],"prefix":"10.1161","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7109-0582","authenticated-orcid":true,"given":"Francesca","family":"Sperotto","sequence":"first","affiliation":[{"name":"Department of Cardiology, Boston Children\u2019s Hospital, and Department of Pediatrics, Harvard Medical School, MA (F.S., A. Dionne, J.W.N., K.G.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valiantsina","family":"Kazlova","sequence":"additional","affiliation":[{"name":"Carelon Research, Newton, MA (V.K., F.L.T.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felicia L.","family":"Trachtenberg","sequence":"additional","affiliation":[{"name":"Carelon Research, Newton, MA (V.K., F.L.T.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1783-6061","authenticated-orcid":true,"given":"Dongngan T.","family":"Truong","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics, University of Utah and Primary Children\u2019s Hospital, Salt Lake City (D.T.T., C.M.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Michigan, Detroit (S.A.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph R","family":"Block","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics, Medical College of Wisconsin, Children\u2019s Hospital of Wisconsin, Milwaukee (J.R.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5220-7423","authenticated-orcid":true,"given":"Tamara T.","family":"Bradford","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics, Louisiana State University, Children\u2019s Hospital of New Orleans, LA (T.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujatha","family":"Buddhe","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, University of Stanford, Palo Alto, CA (S.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2864-1830","authenticated-orcid":true,"given":"Audrey","family":"Dionne","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Boston Children\u2019s Hospital, and Department of Pediatrics, Harvard Medical School, MA (F.S., A. 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