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Murine Echocardiography of Left Atrium, Aorta, and Pulmonary Artery
Published on: February 20, 2017
Evidence of left atrial remodeling and left ventricular diastolic dysfunction in type 2 diabetes mellitus with
G Zoppini1, S Bonapace2, C Bergamini3
1Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, Azienda Ospedaliera Universitaria Integrata, University of Verona, Verona, Italy.
Insights
Longer duration of type 2 diabetes is linked to increased left atrial volume index (LAVI) in men. This finding suggests diabetes duration impacts heart health, specifically left atrial size, in patients with type 2 diabetes.
Area of Science:
- Cardiology
- Endocrinology
- Diabetology
Background:
- Cardiovascular disease (CVD) is a major complication and predictor of poor prognosis in type 2 diabetes (T2D).
- Left atrial (LA) size is an established outcome predictor in various conditions, including diabetes.
- The relationship between LA size and diabetes duration remains under-investigated.
Purpose of the Study:
- To investigate the association between left atrial volume index (LAVI) and the duration of type 2 diabetes.
- To test the hypothesis that LA volume increases with longer diabetes duration.
Main Methods:
- Cross-sectional study involving 44 newly diagnosed and 172 established male T2D patients.
- Transthoracic echocardiographic Doppler evaluation for all participants.
- Multivariable analysis adjusted for age, HbA1c, hypertension, microvascular complications, and cardiac function parameters.
Main Results:
- 28.2% of patients exhibited increased LAVI.
- Lower diastolic and systolic function indices were observed in patients with larger LA.
- LAVI values increased across diabetes duration categories, with longer duration predicting LAVI ≥34 ml/m² (OR 1.65, p=0.014).
Conclusions:
- Diabetes duration is a significant positive predictor of increased LAVI in men with T2D and preserved systolic function.
- Further research is required to understand the biological mechanisms linking T2D duration to elevated LAVI.
Background And Aims:
Prognosis of type 2 diabetes is associated with the occurrence of cardiovascular diseases. Left atrial (LA) size is a predictor of outcome in several diseases, including diabetes. Long duration of diabetes is an established risk factor of poor prognosis. No data are available on the relationship between LA size and duration of diabetes. The present study was aimed to investigate the relationship between LA volume index (LAVI) and the duration of diabetes to test the hypothesis that LA volume will increase as a function of diabetes duration.
Methods And Results:
Forty-four male patients with newly diagnosed and 172 male patients with established type 2 diabetes were recruited for this cross-sectional study. All patients were evaluated with a transthoracic echocardiographic Doppler. About 28.2% of patients had increased LAVI. Indices of both diastolic and systolic function were significantly lower in patients with larger left atrium. The values of LAVI increased across classes of duration of diabetes. In multivariable analysis, longer duration was a predictor of LAVI ≥34 ml/m2 (odds ratio 1.65, 95% CI 1.11-2.46, p = 0.014) after adjusting for age, hemoglobin A1c, hypertension, microvascular complication status, and relevant echocardiographic parameters of systolic and diastolic function.
Conclusions:
These results indicate that duration of diabetes is strongly and positively associated with larger LAVI in type 2 diabetic men with preserved systolic function. Future studies are needed to better elucidate the biological mechanisms underlying linking type 2 diabetes with abnormally increased LAVI in subjects with type 2 diabetes.
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