A Study to Correlate Hba1c Levels and Left Ventricular Diastolic Dysfunction in Newly Diagnosed Type Ii Diabetes Mellitus

Perumal, Vasanthi; Narayanan, Namitha; Rangarajan, Jayanthi; Palanisamy, Elangumanan; Kalifa, Mohamed; Perincheri, Uma Maheshwari; Selvaraj, P.; Chinnathambi, Santhi

doi:10.14260/jemds/2016/767

Cited by 4 publications

(7 citation statements)

References 11 publications

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“…In a similar study done by Perumal et al [11] found that patents with age between 31 to 50 have 28% chances to get LVDD with significant P value of 0.04. Patients with age between 31 to 40 have 45% chances to get LVDD without significant P value of 0.142.…”

Section: Discussionmentioning

confidence: 70%

“…This concludes that HbA1C is strongly associated with presence of LVDD (p=0.0057). Perumal et al [11] in his study found that patients with HbA1c between 6.5 to 8 have 17% chances to get LVDD with significant P value of 0.03. Patients with HbA1c between 8 to 10 have 35% chances to get LVDD with significant P value of 0.02.…”

Section: Discussionmentioning

confidence: 92%

“…In this study, we found that incidence of grade 1 diabetic cardiomyopathy was commonest in age group 41-50 years in both the genders whereas grade 2 was more common in age group 51-60 years. Many researchers [9][10][11][12][13] found a strong correlation between the development of diabetic cardiomyopathy and increased level of HbA1c. Mean of HbA1C (%) was found higher in group with LVDD (7.67±0.90) as compared to group without LVDD (7.24±0.64).…”

Section: Discussionmentioning

confidence: 99%

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Diabetes Mellitus Type II: Correlation between HBA1C Level and Left Ventricular Diastolic Dysfunction

Dhar¹,

Lal²,

Thakuria³

et al. 2016

AIMDR

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Background: Diabetes is a metabolic disease which affects various organs of the body like heart, eye, kidney, skin and peripheral nerves. Diabetic cardiomyopathy is defined as the appearance of the symptoms of Congestive heart failure in diabetic patient in the absence of hypertension and any structural or congenital heart disease. The aim of the study is to find the relation between type 2 diabetes mellitus and cardiomyopathy, highlighting the variation in incidence according to age, sex and severity on basis of Doppler echocardiographic diagnosis. Methods: The prospective study was conducted for the duration of one year on 100 newly diagnosed Type 2 Diabetes patients aged between 30-60 years. Doppler echocardiography and HbA1c level of the patients was done. The study was conducted on the basis of grading of diastolic dysfunction on echocardiography. Quantitative data was analysed with the help of 't' test and qualitative data with the ChiSquare and Fisher Exact Test. Statistical significance was taken as P < 0.05. Results: In this study, 39% of the newly diagnosed type 2 diabetes mellitus patients developed diabetic cardiomyopathy. In females, the disease was statistically absent in more patients (35) as compared to males (26) (<0.05). The commonest age group affected by grade 1 disease was 41-50 years. The incidence of grade 2 disease was more in age group 51-60 years. The grade 1 diabetic cardiomyopathy was statistically more common in males as compared to females (<0.05). The grade 2 diabetic cardiomyopathy was more common in females, but was statistically insignificant. Patients with HbA1c <8 have 16% chances to get LVDD with significant P value of 0.02. Patients with HbA1c between 8 to 10 have 30% chances to get LVDD with significant P value of 0.01. Conclusion: Diabetic cardiomyopathy is an important complication of type 2 diabetes mellitus patient. HbA1c level and Doppler echocardiography plays an important role in estimating the prevalence and severity of diabetic cardiomyopathy.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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Diabetes Mellitus Type II: Correlation between HBA1C Level and Left Ventricular Diastolic Dysfunction

Dhar¹,

Lal²,

Thakuria³

et al. 2016

AIMDR

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“…The mean age of our patients was only 44.42 years, i.e., before the usual age of menopause, after which many females develop hypertension? Abhay Kumar Choudhary et al, 23 Srinivasa S. V. et al 24 and Perumal V et al 22 had reported that more of those aged > 50 years have LVDD, than those aged < 50 years. Because of the exclusion of diabetics aged >50 years, and the hypertensives, most of the studied patients were having only short duration of diagnosed diabetes.…”

Section: Discussionmentioning

confidence: 99%

“…10,11 A relationship has been found between hyperglycaemia and LVDD in diabetes mellitus. 12 Manish Gutch et al, 13 Raghib Hasan et al, 14 Kumar VS et al, 15 Ashour K, 16 Virendra C. Patil et al, 11 Rajesh Kumar Meena et al, 17 Jain S et al, 18 Michaela Kozakova et al, 19 Markuszewski L et al, 20 Dhar R et al, 21 Perumal V et al, 22 Abhay Kumar Chaudhury et al, 23 Srinivasa S. V. et al 24 and Suresh G et al 25 reported that more of those who had higher HbA1c levels had LVDD compared to those who had lower HbA1c levels. Holzmann M et al 26 detected that concentrations of fasting plasma glucose, glucose post load and glycated haemoglobin even below the threshold of diabetes, but already in the upper end of the normal range, had negative impact on LV diastolic function.…”

Section: Introductionmentioning

confidence: 99%

CORRELATION BETWEEN LEFT VENTRICULAR DIASTOLIC DYSFUNCTION AND HbA1c LEVELS IN KERALITE DIABETICS

Thomas¹,

Nalupurakkal²,

Varghese³

2019

jebmh

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BACKGROUND India has world's second largest number of diabetics. Much of the excess mortality among diabetics is because of cardiovascular diseases, including heart failure. Left ventricular diastolic dysfunction (LVDD), the earliest subclinical manifestation of diabetic cardiomyopathy, can worsen to heart failure. Some studies reported relation between LVDD and hyperglycaemia. There are no such studies on Keralite population. Ethnic variations occur in susceptibility to diabetes mellitus and cardiovascular diseases. Our study aims to examine whether LVDD in Keralite diabetics is related to the glycaemic status reflected by HbA1c. METHODS This is a cross sectional analytical study. Thirty diabetics between 21-50 years of age without hypertension, obesity and other comorbidities were selected. Parameters of left ventricular diastolic function (Iso-Volumetric Relaxation Time, ratio of peak velocity of early filling phase to peak velocity of late filling phase, deceleration time and ratio of peak velocity of early filling phase to early diastolic mitral annular velocity) were assessed by echocardiography and pulse wave tissue Doppler imaging. Venous blood HbA1c% (glycated haemoglobin A) was estimated. RESULTS 54.5% of the diabetics had Left Ventricular Diastolic Dysfunction (LVDD). HbA1c levels accounted for 88% variance in LVDD. There was a strong correlation between LVDD and HbA1c levels. CONCLUSIONS There is a strong correlation between LVDD and hyperglycaemia, as reflected by high HbA1c levels. So, rigorous control of blood glucose levels is needed to prevent heart failure in diabetes mellitus.

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Role of Some Serum Biomarkers in the Early Detection of Diabetic Cardiomyopathy

Abdelrahman

Salama

et al. 2021

Future Sci. OA

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Aim: To assess the role of serum biomarkers in early prediction of diabetic cardiomyopathy. Materials and methods: The participants were three groups of Type 2 diabetes mellitus (DM) patients having diastolic dysfunction (DM-DD), systolic dysfunction (DM-SD) and normal echocardiography (DM-N) with two control groups: non-DM diastolic dysfunction patients (DD) and healthy controls. AGEs, TNF-α, IL-6, IGFBP-7, creatinine and insulin were assessed. Results: TNF-α, AGEs, creatinine and insulin panel had area under the curve (AUC) of 0.913 in distinguishing DM-DD from DM-N (78.7% sensitivity and 100% specificity). IL-6 and AGEs panel had AUC 0.795 for differentiating DM-SD from DM-DD (90.6% sensitivity). IL-6, TNF-α and AGEs panel had AUC 0.924 for differentiating diabetic cardiomyopathy from DM-N (85% sensitivity and specificity). Conclusion: A panel of AGEs, IL-6, TNF-α, insulin and creatinine might be used for early detection of DM-DD among T2DM patients.

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A Study to Correlate Hba1c Levels and Left Ventricular Diastolic Dysfunction in Newly Diagnosed Type Ii Diabetes Mellitus

Cited by 4 publications

References 11 publications

Diabetes Mellitus Type II: Correlation between HBA1C Level and Left Ventricular Diastolic Dysfunction

Diabetes Mellitus Type II: Correlation between HBA1C Level and Left Ventricular Diastolic Dysfunction

CORRELATION BETWEEN LEFT VENTRICULAR DIASTOLIC DYSFUNCTION AND HbA1c LEVELS IN KERALITE DIABETICS

Role of Some Serum Biomarkers in the Early Detection of Diabetic Cardiomyopathy

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