Type 2 & other diabetes

The right ventricular dysfunction and ventricular interdependence in patients with diabetes mellitus (DM): assessment using cardiac MR feature tracking

Cardiovasc DiabetolPublished Cross-sectional study

Authors' conclusion

In the patients with DM and preserved LVEF, the difference in RVGLS between DM and normal controls was totally mediated by LVGLS. Although there were partly mediating effects of LVGLS and LVGCS, the decrease in RVGCS might be directly affected by the DM.

Study context

Population
Patients with DM and preserved left ventricular ejection fraction (LVEF) who underwent cardiac MR, December 2016 to February 2022, single hospital
Exposure
DM vs normal controls
  • DMn = 148
  • Normal controlsn = Fifty-fourreference
Outcome
RV global strains
Methodological detailsconsecutive recruitment, cardiac MR feature tracking, mediation analysis
  • Consecutive recruitment
  • Cardiac MR feature tracking
  • Mediation analysis

Main finding

As reported in the abstract

  • DM vs Normal controls: P = 0.001
  • DM vs Normal controls: P = 0.011
  • DM vs Normal controls: P = 0.743

Observational data: associations, not effects.

Further findings

Mediation of right ventricular (RV) strain differences by LV strain

RVGLS difference totally mediated by LVGLS
0.655 (indirect effect; bootstrapped 95% CI 0.138-0.265)
RVGCS difference partly mediated by LVGLS
0.336 (indirect effect; bootstrapped 95% CI 0.002-0.820)
RVGCS difference partly mediated by LVGCS
0.368 (indirect effect; bootstrapped 95% CI 0.028-0.855)

Original publication

The right ventricular dysfunction and ventricular interdependence in patients with DM: assessment using cardiac MR feature tracking. Cardiovasc Diabetol. Published 21 April 2023. doi:10.1186/s12933-023-01806-7

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