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JCR 2016
جستجوی مقالات
پنجشنبه 27 آذر 1404
Iranian Heart Journal
، جلد ۲۱، شماره ۱، صفحات ۸۲-۹۳
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
Correlation Between Type II Diabetes Mellitus and Left Atrial Function as Assessed by 2D Speckle-Tracking Echocardiography in Patients Without Coronary Artery Disease
چکیده انگلیسی مقاله
Background:
Diabetes mellitus (DM) is associated with several comorbidities and complications
such as hypertension, obesity, hyperlipidemia, nephropathy, and cardiovascular diseases.
This study aimed to investigate the correlation between the left atrial (LA) function and
DM via conventional and speckle-tracking echocardiography (STE).
Methods:
In this prospective study, from 198 patients with sinus rhythms, 174 patients were
included based on inclusion and exclusion criteria. Conventional and STE examinations
were done for all the patients. The patients’ demographics, comorbidities, and family
history, as well as the results of their angiography or computed tomography angiography,
electrocardiography, and echocardiography, were recorded. The variables were compared
between the groups with and without DM, and the association between the LA function
and DM was studied in the patients.
Results:
Totally, 45.2% of the diabetic patients (n = 28) and 38.4% of the nondiabetic patients
(n = 30) had diastolic dysfunction (
P
= 0.384). The diabetic patients had a lower mean of
the left ventricular end-diastolic diameter, the LA peak strain during the reservoir phase,
the LA pump, and the LA peak positive strain rate during ventricular systole
(all
P
s < 0.001) and a higher mean of the left ventricular mass index, the A-wave, the
E/A, the LA peak negative strain rate during early diastole (all
P
s <0.001), the left
ventricular end-systolic volume (
P
= 0.001), the Ea (
P
= 0.008), the LA ejection fraction
(
P
= 0.011), and the passive emptying volume (
P
= 0.026).
Conclusions:
The results of the present study indicated LA and left ventricular dysfunction in
diabetic patients. However, the LA function may be affected by several factors, and our
nonrandomized patient selection could also have affected the results. Thus, it is suggested
that future randomized clinical trials compare the LA echocardiographic parameters in
matched groups.
کلیدواژههای انگلیسی مقاله
Diabetes Mellitus,left atrium,Atrial function,echocardiography,STE
نویسندگان مقاله
Fariba Bayat |
Department of Cardiology, Modarres Hospital Research and Development Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Mohammad Khani |
Department of Cardiology, Modarres Hospital Research and Development Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Fatemeh Saffarian |
Department of Cardiology, Modarres Hospital Research and Development Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
Mohammad Amin Shahrbaf |
Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
نشانی اینترنتی
http://journal.iha.org.ir/article_102268_04d0c09137248cbf8572ee578ba042fa.pdf
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