Evaluation of left ventricular systolic and diastolic function in subjects with prediabetes and diabetes using cardiovascular magnetic resonance-feature tracking
机构:[1]Shenzhen Clinical Medical College, Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China[2]Department of Radiology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China[3]Post-Doctoral Research Center, Longgang Central Hospital of Shenzhen, Guangdong, China[4]Zhouxin Medical Imaging and Health Screening Center, Xiamen, Fujian, China[5]Department of Radiology, Xuanwu Hospital, Capital Medical University, No 45 Changchun Street, Xicheng District, Beijing 100053, China医技科室放射科首都医科大学宣武医院[6]Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
Aims The aim of this study was to evaluate alterations in left ventricular (LV) systolic and diastolic function in subjects with prediabetes and diabetes using cardiovascular magnetic resonance-feature tracking (CMR- FT). Methods We included 35 subjects with prediabetes, 30 subjects with diabetes, and 33 healthy controls of similar age and sex distributions who underwent CMR examination. LV global radial, circumferential, and longitudinal strain (GRS, GCS, and GLS), peak systolic strain rate (PSSR), and peak diastolic strain rate (PDSR) were measured and compared among the three groups. Pearson's correlation and linear regression analyses were applied for statistical analyses. Results Subjects with prediabetes and diabetes had a significantly lower GLS than healthy controls, but there were no significant differences in ejection fraction (EF), GRS, GCS, or global radial, circumferential and longitudinal PSSR among the three groups. Global radial, circumferential, and longitudinal PDSR in patients with diabetes were all significantly lower than those in the healthy controls. Compared to subjects with prediabetes, patients with diabetes had a significantly lower global circumferential PDSR. Global longitudinal PDSR in subjects with prediabetes was significantly lower than that in healthy controls. Multivariable linear regression analyses demonstrated that elevated HbA1c levels were independently associated with decreased global circumferential and longitudinal PDSR (beta = -0.203, p = 0.023; beta = -0.207, p = 0.040, respectively). Conclusions CMR-FT has potential value to evaluate early alterations in LV systolic and diastolic function in subjects with prediabetes and diabetes. Elevated HbA1c levels were independently associated with impaired LV diastolic function in the general population free of overt cardiovascular diseases.
基金:
The study was retrospectively registered and approved by the
Chinese Ethics Committee (ChiECRCT20190198). Project start
date: October 10, 2019.
第一作者机构:[1]Shenzhen Clinical Medical College, Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China
共同第一作者:
通讯作者:
通讯机构:[1]Shenzhen Clinical Medical College, Guangzhou University of Chinese Medicine, Shenzhen, Guangdong, China[4]Zhouxin Medical Imaging and Health Screening Center, Xiamen, Fujian, China[5]Department of Radiology, Xuanwu Hospital, Capital Medical University, No 45 Changchun Street, Xicheng District, Beijing 100053, China
推荐引用方式(GB/T 7714):
Zhou Shanshan,Zhang Zheng,Zhang Zhen,et al.Evaluation of left ventricular systolic and diastolic function in subjects with prediabetes and diabetes using cardiovascular magnetic resonance-feature tracking[J].ACTA DIABETOLOGICA.2022,59(4):491-499.doi:10.1007/s00592-021-01822-7.
APA:
Zhou, Shanshan,Zhang, Zheng,Zhang, Zhen,Gao, Yiyuan,Li, Gengxiao...&Pohost, Gerald M..(2022).Evaluation of left ventricular systolic and diastolic function in subjects with prediabetes and diabetes using cardiovascular magnetic resonance-feature tracking.ACTA DIABETOLOGICA,59,(4)
MLA:
Zhou, Shanshan,et al."Evaluation of left ventricular systolic and diastolic function in subjects with prediabetes and diabetes using cardiovascular magnetic resonance-feature tracking".ACTA DIABETOLOGICA 59..4(2022):491-499