Association between neutrophil-to-lymphocyte ratio and left ventricular diastolic dysfunction in patients with type 2

Xueyang Yang1,2, Yinze Shi1,2, Huan Zhang1,2

  • 1Department of Endocrinology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

PubMed

Insights

The neutrophil-to-lymphocyte ratio (NLR) may help identify left ventricular diastolic dysfunction (LVDD) in type 2 diabetes patients. Higher NLR levels correlate with increased LVDD prevalence, suggesting it as a potential diagnostic indicator.

Area of Science:

  • Cardiology
  • Endocrinology
  • Inflammation Biomarkers

Background:

  • Diabetes mellitus is a global pandemic linked to severe health complications.
  • Left ventricular diastolic dysfunction (LVDD) is a common, often asymptomatic, cardiac complication in diabetic patients.
  • The neutrophil-to-lymphocyte ratio (NLR) is an inflammation biomarker with potential links to cardiac conditions, but its association with LVDD in type 2 diabetes mellitus (T2DM) remains unexplored.

Purpose of the Study:

  • To investigate the relationship between the neutrophil-to-lymphocyte ratio (NLR) and left ventricular diastolic dysfunction (LVDD) in patients with type 2 diabetes mellitus (T2DM).

Main Methods:

  • A cross-sectional study analyzed medical records of 855 T2DM patients.
  • Patients were classified into LVDD and non-LVDD groups based on echocardiographic criteria.
  • The correlation between NLR levels and LVDD prevalence was statistically evaluated.

Main Results:

  • The prevalence of LVDD was 47.8% among the studied T2DM patients.
  • Patients with LVDD exhibited significantly higher mean NLR values compared to those without LVDD (P<0.001).
  • Logistic analysis revealed a positive association between NLR levels and LVDD prevalence, with elevated NLR correlating to increased odds of LVDD (P<0.001).

Conclusions:

  • The neutrophil-to-lymphocyte ratio (NLR) shows potential as an indicator for identifying LVDD in T2DM patients.
  • Elevated NLR levels may signify a higher risk of LVDD, warranting clinical attention and intervention to prevent progression to heart failure.
Abstract

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