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July 1, 1997Diabetic Medicine

Left Ventricular Hypertrophy in Non-insulin-dependent Diabetic Patients With and Without Diabetic Nephropathy

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Key result

NIDDM patients with and without diabetic nephropathy had a significantly higher prevalence of left ventricular hypertrophy (75% and 51%, respectively) compared to non-diabetic controls (9%, p<0.001).

Why the study?

Does NIDDM with or without diabetic nephropathy increase left ventricular mass index and the prevalence of left ventricular hypertrophy compared to non-diabetic controls?

Population

126 subjects: 51 NIDDM patients with diabetic nephropathy, 53 NIDDM patients with normoalbuminuria, and 22…

Comparison

Non-insulin-dependent diabetes mellitus with or… vs Non-diabetic control subjects

Design

Case-control

Authors

FNF. S. NielsenSASamir Ben AliPRPeter Rossing

Discussion

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Overview

NIDDM may warrant echocardiographic monitoring independent of nephropathy; hypothesis-generating for diabetic cardiomyopathy mechanisms.

Study Design

Type

Case-Control (n=126)

Structured PICO

Does NIDDM with or without diabetic nephropathy increase left ventricular mass index and the prevalence of left ventricular hypertrophy compared to non-diabetic controls?

P
Population
126 participants, including 51 NIDDM patients with diabetic nephropathy, 53 NIDDM patients with normoalbuminuria, and 22 non-diabetic controls, evaluated for left ventricular hypertrophy.
E
Exposure
Non-insulin-dependent diabetes mellitus (NIDDM) with or without diabetic nephropathy
C
Comparator
Non-diabetic control subjects
O
Outcome
Left ventricular mass index (LVMI) and systolic function (shortening fraction) determined by echocardiographysurrogate

Main Result

Absolute Event Rate: 75% vs 9%

p-value: p=<0.001

NIDDM patients, regardless of nephropathy status or hypertension, have a significantly higher prevalence of left ventricular hypertrophy and reduced systolic function compared to non-diabetic controls.

Cite This Study

Nielsen et al. (1997) conducted a case-control in Non-insulin-dependent Diabetes Mellitus (NIDDM) with and without diabetic nephropathy (n=126). NIDDM with or without diabetic nephropathy vs. Non-diabetic control subjects was evaluated on Prevalence of left ventricular hypertrophy (LVH) (p=<0.001). NIDDM patients with and without diabetic nephropathy had a significantly higher prevalence of left ventricular hypertrophy (75% and 51%, respectively) compared to non-diabetic controls (9%, p<0.001).

synapsesocial.com/papers/6a3ff7ac901a52dbcb71b9fahttps://doi.org/10.1002/(sici)1096-9136(199707)14:7<538::aid-dia415>3.0.co;2-i
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