Associations of (pre)diabetes with right ventricular and atrial structure and function: the Maastricht Study

Cardiovascular Diabetology
Pauline B C LinssenCoen D A Stehouwer

Abstract

The role of right ventricular (RV) and atrial (RA) structure and function, in the increased heart failure risk in (pre)diabetes is incompletely understood. The purpose of this study is to investigate the associations between (pre)diabetes and RV and RA structure and function, and whether these are mediated by left ventricular (LV) alterations or pulmonary pressure. Participants of the Maastricht Study; a population-based cohort study (426 normal glucose metabolism (NGM), 142 prediabetes, 224 diabetes), underwent two-dimensional and tissue Doppler echocardiography. Multiple linear regression analyses with pairwise comparisons of (pre)diabetes versus NGM, adjusted for cardiovascular risk factors, and mediation analyses were used. In general, differences were small. Nevertheless, in individuals with prediabetes and diabetes compared to NGM; RA volume index was lower (both p < 0.01, ptrend < 0.01), RV diameter was lower (both p < 0.01, ptrend < 0.01) and RV length was significantly smaller in diabetes (p = 0.67 and p = 0.03 respectively, ptrend = 0.04), TDI S'RV was lower (p = 0.08 and p < 0.01 respectively, ptrend < 0.01), TDI E'RV was lower (p = 0.01 and p = 0.02 respectively, ptrend = 0.01) and TDI A'RV was lower (p < 0.01 and p...Continue Reading

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Citations

Nov 5, 2020·International Journal of Molecular Sciences·Lucia La Sala, Antonio E Pontiroli
Aug 28, 2021·Journal of Clinical Medicine·Filippos TriposkiadisEfstathios Iliodromitis
Dec 11, 2021·Hormone and Metabolic Research = Hormon- Und Stoffwechselforschung = Hormones Et Métabolisme·An YanLiping Guo

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Methods Mentioned

BETA
percutaneous artery angioplasty

Software Mentioned

EchoPAC PC
SPSS

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