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.
Abstract

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