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January 1, 1988The Journal of Clinical Endocrinology & Metabolism

The Relationship of Cardiac Diastolic Dysfunction to Concurrent Hormonal and Metabolic Status in Type I Diabetes Mellitus*

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Why the study?

Does uncomplicated type I diabetes mellitus impair cardiac diastolic function compared to normal subjects?

Population

8 type I diabetic patients with no major diabetic complications and 11 normal subjects

Comparison

Type I diabetes mellitus (observational exposure) vs Normal subjects

Design

Cross-sectional

Key result

Type I diabetic patients without major complications had a lower peak filling rate at rest compared to normal subjects (4.1 vs 4.8 end-diastolic volumes/s; P<0.05).

Authors

TRTerrence D. RuddySSSteven L. ShumakPLP. P. Liu

Discussion

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Overview

May signal early diabetic cardiomyopathy in type 1 diabetes; hypothesis-generating and leaves open need for prospective validation.

Study Design

Type

Cross-Sectional (n=19)

Structured PICO

Does uncomplicated type I diabetes mellitus impair cardiac diastolic function compared to normal subjects?

P
Population
8 type I diabetic patients with no major diabetic complications (occult coronary artery disease excluded by ECG exercise testing) and 11 normal subjects (total n=19)
I
Intervention
Type I diabetes mellitus (observational exposure)
C
Comparator
Normal subjects
O
Outcome
Cardiac diastolic function measured by peak filling rate (PFR) and time to PFR via radionuclide left ventricular angiograms at rest and during exercisesurrogate

Main Result

Absolute Event Rate: 4.1% vs 4.8%

p-value: p=<0.05

Uncomplicated type I diabetes mellitus is associated with impaired cardiac diastolic filling at rest and during exercise, which may represent the earliest functional effect of diabetic cardiomyopathy.

Cite This Study

Ruddy et al. (1988) conducted a cross-sectional in Type I diabetes mellitus (n=19). Type I diabetes mellitus vs. Normal subjects was evaluated on Peak filling rate (PFR) at rest (end-diastolic volumes per s) (p=<0.05). Type I diabetic patients without major complications had a lower peak filling rate at rest compared to normal subjects (4.1 vs 4.8 end-diastolic volumes/s; P<0.05).

synapsesocial.com/papers/6a08098d113ba5b476ddec3fhttps://doi.org/10.1210/jcem-66-1-113
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