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September 13, 2011Diabetes CareOpen Access

One-Hour Postload Plasma Glucose Levels and Diastolic Function in Hypertensive Patients

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Key result

A 1-h postload plasma glucose ≥155 mg/dL was associated with significantly worse diastolic function, including higher left atrium dimensions (P<0.0001) and isovolumetric relaxation time (P=0.037).

Why the study?

Is a 1-h postload plasma glucose ≥155 mg/dL associated with worse left ventricular diastolic function in never-treated hypertensive patients with normal glucose tolerance?

Population

161 never-treated hypertensive white subjects

Comparison

1-h postload plasma glucose ≥155 mg/dL during an… vs 1-h postload plasma glucose <155 mg/dL during…

Design

Cross-sectional

Authors

ASAngela SciacquaSMSofia MiceliLGLaura Greco

Discussion

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Member takes

Overview

May flag early diastolic dysfunction in normoglycemic hypertensives; hypothesis-generating, prospective studies needed before clinical adoption.

Study Design

Type

Cross-Sectional (n=161)

Structured PICO

Is a 1-h postload plasma glucose ≥155 mg/dL associated with worse left ventricular diastolic function in never-treated hypertensive patients with normal glucose tolerance?

P
Population
161 never-treated hypertensive white subjects evaluated for glucose tolerance status and diastolic function.
E
Exposure
1-h postload plasma glucose ≥155 mg/dL during an oral glucose tolerance test (OGTT) in subjects with normal glucose tolerance (NGT)
C
Comparator
1-h postload plasma glucose <155 mg/dL during OGTT in subjects with NGT
O
Outcome
Left ventricular diastolic function assessed by pulsed Doppler transmitral flow velocity and tissue Doppler imagingsurrogate

Main Result

p-value: p=<0.0001

In never-treated hypertensive patients with normal glucose tolerance, a 1-h postload plasma glucose ≥155 mg/dL is associated with early signs of left ventricular diastolic dysfunction.

Cite This Study

Sciacqua et al. (2011) conducted a cross-sectional in Hypertension (n=161). 1-h postload plasma glucose ≥155 mg/dL vs. 1-h postload plasma glucose <155 mg/dL was evaluated on Diastolic function parameters (left atrium dimensions, IVRT, tissue Doppler parameters) (p=<0.0001). A 1-h postload plasma glucose ≥155 mg/dL was associated with significantly worse diastolic function, including higher left atrium dimensions (P<0.0001) and isovolumetric relaxation time (P=0.037).

synapsesocial.com/papers/6a99f4d2549eae2df217bb7bhttps://doi.org/10.2337/dc11-0879
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1One-Hour Postload Plasma Glucose Levels and Left Ventricular Mass in Hypertensive Patients2011 · 92 citations
  2. 2One‐hour post‐load glucose and subclinical left atrial myocardial dysfunction in hypertensive patients2023 · 2 citations
  3. 3Plasma Glucose Levels and Left Ventricular Diastolic Function in Nondiabetic Hypertensive Patients2013 · 29 citations
  4. 4Association between One-Hour Post-Load Plasma Glucose Levels and Vascular Stiffness in Essential Hypertension2012 · 71 citations
  5. 5Fasting Plasma Glucose Is an Independent Determinant of Left Ventricular Diastolic Dysfunction in Nondiabetic Patients with Treated Essential Hypertension.2002 · 30 citations