We evaluated the relationship between cardiac MRI measures of fibrosis and NT-proBNP levels in 1334 participants in the Multi-Ethnic Study of Atherosclerosis (MESA). Univariate and multivariable regression analyses adjusting for demographics, cardiovascular risk factors, and left ventricular (LV) mass were performed to examine the association of log NT-proBNP with MRI T1 mapping indices. In the fully adjusted model, each one standard deviation increment (0.44pg/mL) of log NT-proBNP was associated with 0.62% increment in ECV (P<0.001), 4.7ms increment in native T1 (P=0.001), and 0.01 increment in partition coefficient (P<0.001). Elevated NT-proBNP is related to subclinical fibrosis in a community-based setting.
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