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October 1, 1977Journal of Clinical Investigation730 citationsOpen Access

Evidence for Cardiomyopathy in Familial Diabetes Mellitus

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TRTimothy J. ReganMLMichael M. LyonsSAS. Sultan Ahmed

Key Result

Adult-onset diabetics without significant coronary disease or heart failure exhibited a significantly higher left ventricular end-diastolic pressure/volume ratio compared to controls.

Study Design

Type

Observational (n=26)

Multicenter

No

Structured PICO

Does familial adult-onset diabetes mellitus affect left ventricular hemodynamics compared to controls?

P
Population
17 adult-onset diabetics of familial type without hypertension or obesity, and 9 controls of similar age (total n=26)
C
Comparator
9 controls of similar age
O
Outcome
Status of the left ventricle assessed via hemodynamic studysurrogate

This study investigates the presence of noncoronary cardiomyopathy in adult-onset diabetics by assessing left ventricular hemodynamics.

Main Result

Absolute Event Rate: 0.097% vs 0.062%

p-value: p=<0.005

Limitations

  • Small sample size
  • Indicator dilution method differs systematically from angiographic technique
  • Potential artifactual basis in postmortem PAS staining due to postmortem interval

Abstract

A C T Recent epidemiologic studies have suggested that cardiac disease is common in diabetics and may often have a noncoronary basis. To examine the status of the left ventricle, 17 adult-onset diabetics of familial type without hypertension or obesity under- went hemodynamic study and were compared to 9 controls of similar age.

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Cite This Study

Regan et al. (1977) conducted an observational in Familial Diabetes Mellitus (n=26). Diabetes Mellitus (Exposure) vs. Nondiabetic controls was evaluated on Left ventricular end-diastolic pressure/volume ratio (p=<0.005). Adult-onset diabetics without significant coronary disease or heart failure exhibited a significantly higher left ventricular end-diastolic pressure/volume ratio compared to controls.

synapsesocial.com/papers/6a0e1fdefeb2455d62c82ee5https://doi.org/10.1172/jci108843
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Also Consider

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  1. 1Coronary Arteries in Fatal Acute Myocardial Infarction1972 · 120 citations
  2. 2Studies of Cardiopulmonary Blood Volume1967 · 49 citations
  3. 3The In Vivo Determination of Left Ventricular Volume1968 · 47 citations
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  5. 5Fat Transport in Lipoproteins — An Integrated Approach to Mechanisms and Disorders1967 · 1,931 citations