Diabetes complications

Impact of oxidative stress on myocardial performance in patients with diabetes: a focus on subclinical left ventricular dysfunction

BMJ Open Diabetes Res CarePublished Cross-sectional study

Authors' conclusion

Both oxidative stress and myocardial dysfunction were found to be more common in patients with DM. The study's findings indicated the negative effect of oxidative stress on myocardial functions. Accordingly, increased oxidative stress caused more significant deterioration in MPI in patients with DM compared with healthy individuals.

Study context

Population
Patients with and without diabetes mellitus (DM) evaluated for oxidative stress and SCLVD by tissue Doppler echocardiography
Participants
151 patients
Exposure
Patients with DM vs healthy individuals
  • DMn = 81
  • Healthyn = 70reference
Outcome
Relationship between oxidative stress (total oxidant status (TOS), total antioxidant status (TAS), OSI) and SCLVD assessed by Myocardial Performance Index (MPI)
Methodological detailsobservational, single-centre
  • Observational
  • Single-centre

Main finding

As reported in the abstract

Correlation between OSI and MPI mitral
GroupValuep
DMR 0.554p = <0.001
HealthyR −0.069p=0.249

Value

DMR 0.554
HealthyR −0.069

p

DMp = <0.001
Healthyp=0.249

Observational data: associations, not effects.

Further findings

OutcomeDMHealthyP value
TOSHigher with DMmean 5.72 ± 0.55mean 5.31 ± 0.50P = <0.001
OSIHigher with DMmean 4.92 ± 1.93mean 1.79 ± 0.39P = <0.001
TASLower with DMmean 1.21 ± 0.40mean 3.23 ± 0.51P = <0.001

Original publication

Impact of oxidative stress on myocardial performance in patients with diabetes: a focus on subclinical left ventricular dysfunction. BMJ Open Diabetes Res Care. Published 17 June 2024. doi:10.1136/bmjdrc-2024-004153

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