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July 1, 1991The American Journal of CardiologyOpen Access

Echocardiographic evidence for the existence of a distinct diabetic cardiomyopathy (The Framingham Heart Study)

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Key result

Diabetes in women links to ~22% greater LV mass and increased wall thickness.

  • P<0.001
  • n=4,515

Why the study?

Does diabetes mellitus independently alter echocardiographic parameters of cardiac structure and function in patients without prior cardiovascular disease?

Population

4,515 subjects from the original Framingham Study cohort and the Framingham Offspring Study, excluding those…

Comparison

Diabetes mellitus and glucose intolerance vs Nondiabetic subjects

Design

Cross-sectional

Authors

MGMaurizio GalderisiKAKeaven M. AndersonPWPeter W.F. Wilson

Discussion

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Overview

Should not yet change practice in asymptomatic diabetic women; hypothesis-generating for sex-specific diabetic cardiomyopathy.

Study Design

Type

Cohort (n=4,515)

Structured PICO

Does diabetes mellitus independently alter echocardiographic parameters of cardiac structure and function in patients without prior cardiovascular disease?

P
Population
4,515 adults from the Framingham Study cohorts, free of cardiovascular disease, evaluated for the association between diabetes and echocardiographic parameters.
E
Exposure
Diabetes mellitus and glucose intolerance
C
Comparator
Nondiabetic subjects
O
Outcome
Age-adjusted echocardiographic parameters of cardiac structure and function (including LV wall thickness, relative wall thickness, LV end-diastolic dimension, LV mass, and fractional shortening)surrogate

Main Result

Absolute Event Rate: 100.4% vs 82.2%

p-value: p=<0.001

Diabetes mellitus is independently associated with increased left ventricular mass and wall thickness in women without prior cardiovascular disease, supporting the existence of a distinct diabetic cardiomyopathy.

Cite This Study

Galderisi et al. (1991) conducted a cohort in Diabetes mellitus (n=4,515). Diabetes mellitus vs. Nondiabetics was evaluated on Left ventricular mass corrected for height in women (p=<0.001). Diabetes mellitus in women was independently associated with increased left ventricular mass (100.4 vs 82.2 g/m, P<0.001) and wall thickness (18.7 vs 17.1 mm, P<0.001) compared to nondiabetics.

synapsesocial.com/papers/6aa66f42affc7bfe5364bc27https://doi.org/10.1016/0002-9149(91)90716-x
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Also Consider

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

  1. 1Factors Contributing to Left Ventricular Diastolic Dysfunction in Long‐term Type I Diabetic Subjects1988 · 29 citations
  2. 2Left Ventricular Function in Newly Diagnosed Non‐insulin‐dependent (Type 2) Diabetics Evaluated by Systolic Time Intervals and Echocardiography1985 · 33 citations
  3. 3Diabetes and cardiovascular risk factors: the Framingham study.1979 · 1,338 citations
  4. 4Echocardiographic criteria for left ventricular hypertrophy: The Framingham heart study1987 · 801 citations
  5. 5Dimorphic Cardiac Adaptation to Obesity and Arterial Hypertension1983 · 338 citations