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With further adjustment for age, hypertension, diabetes, estimated glomerular filtration rate, left atrial volume index, and LV mass index, the significance of the atheroma grade was attenuated. In the subgroup analysis, the atheroma grade was significantly and independently related to E/e' in women (β = 0.181, = 0.032), but not in men. However, atheroma grade was not associated with poor clinical outcomes in either sex. Aortic atheroma grade was significantly and independently related to LV diastolic function, especially in women. This s