Diabetes complications

Relationship between NT-proBNP, echocardiographic abnormalities and functional status in patients with subclinical siabetic cardiomyopathy

Cardiovasc DiabetolPublished Secondary analysis of the ARISE-HF randomised trial

Authors' conclusion

Among patients with subclinical DbCM, elevated NT-proBNP concentrations are associated with worse health status, lower activity levels, and reduced functional capacity, but not with cardiac structural abnormalities. These findings suggest that regardless of cardiac structural abnormalities, biomarker concentrations reflect important deterioration in functional capacity in affected individuals.

Study context

Population
Participants with asymptomatic diabetic cardiomyopathy (DbCM) in the ARISE-HF trial
Participants
685 participants
Comparison
Correlation of NT-proBNP (quartiles) with echocardiographic and functional parameters
Methodological detailsprespecified subgroup analysis
  • Prespecified subgroup analysis

Primary result

As reported in the abstract

baseline
Overall Kansas City Cardiomyopathy Questionnaire score
rho = - 0.10; p = 0.007
Physical Activity Scale in the Elderly
rho = - 0.12; p = 0.004
Duration of cardiopulmonary exercise testing
rho = - 0.28; p < 0.001
Peak VO2
rho = - 0.26; p < 0.001
Minute ventilation/carbon dioxide production ratio
rho = 0.12; p = 0.002

Further findings

NT-proBNP · baseline

Median NT-proBNP (Q1, Q3)
71 (33, 135) ng/L

Original publication

Relationship between NT-proBNP, echocardiographic abnormalities and functional status in patients with subclinical siabetic cardiomyopathy. Cardiovasc Diabetol. Published 2 August 2024. doi:10.1186/s12933-024-02378-w

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