Type 2 & other diabetes

Echocardiographic phenotypes of diabetic myocardial disorder: evolution over 15 months follow-up in the ARISE-HF trial

Cardiovasc DiabetolPublished Secondary analysis of the ARISE-HF randomised trial

Authors' conclusion

Among individuals with T2DM and SBHF, reduced functional capacity is most prevalent in those with multiple physiological disturbances. However, there was no difference between phenogroups in the evolution of exercise intolerance.

Study context

Population
Patients with well-controlled T2D screened for stage B HF (abnormal echocardiography or biomarkers) in the ARISE-HF trial; age 67 ± 7 years, 50% womenwith diabetic myocardial disorder (DbMD)
Participants
1,463 patients
Comparison
Four DbMD phenogroups: biomarkers alone, systolic dysfunction/hypertrophy, diastolic dysfunction, overlap
  • Biomarkers alonen = 907
  • Systolic dysfunction/hypertrophyn = 301
  • Diastolic dysfunctionn = 162
  • Overlapn = 93
Methodological detailsphase 3
  • Phase 3

Primary result

As reported in the abstract

Reduced VO2 (< 75% predicted)

P < 0.0001

Reduced VO2 overall
669 (46%)

Further findings

Change in VO2 · 15 months

Similar small decrement in VO2 in all groups
  • 669 patients followed

Original publication

Echocardiographic phenotypes of diabetic myocardial disorder: evolution over 15 months follow-up in the ARISE-HF trial. Cardiovasc Diabetol. Published 13 January 2025. doi:10.1186/s12933-024-02554-y

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