RD was associated with impaired global longitudinal strain ( P = 0.018 ) , increased E/e ' ( P = 0.032 ) , larger left atria ( P = 0.038 ) and increased levels of proANP ( P < 0.001 ) , NT-proBNP ( P < 0.001 ) and troponin I ( P = 0.019 ) after adjustment for traditional confounders .