Atherogenic index of plasma and left ventricular ejection fraction in newly diagnosed type 2 diabetes mellitus patients

Background: Atherogenic index of plasma (AIP), a logarithm of ratio of triglycerides and high-density lipoprotein-cholesterol is associated with the risk of cardiovascular diseases. The cardiovascular complication in Type 2 diabetes is often assessed by the left ventricular ejection fraction (LVEF)....

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Autores principales: Shaikat Mondal, Himel Mondal, Ritushri Samantaray, Debasish Das, Sairavi Kiran Biri, Avijit Naskar, Sebabrata Jana
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Publicado: Wolters Kluwer Medknow Publications 2021
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spelling oai:doaj.org-article:ca9081ed4a00416bbb42bec99df8b24c2021-11-12T11:12:16ZAtherogenic index of plasma and left ventricular ejection fraction in newly diagnosed type 2 diabetes mellitus patients2251-95722251-958010.4103/rcm.rcm_16_21https://doaj.org/article/ca9081ed4a00416bbb42bec99df8b24c2021-01-01T00:00:00Zhttp://www.rcvmonline.com/article.asp?issn=2251-9572;year=2021;volume=10;issue=3;spage=73;epage=78;aulast=Mondalhttps://doaj.org/toc/2251-9572https://doaj.org/toc/2251-9580Background: Atherogenic index of plasma (AIP), a logarithm of ratio of triglycerides and high-density lipoprotein-cholesterol is associated with the risk of cardiovascular diseases. The cardiovascular complication in Type 2 diabetes is often assessed by the left ventricular ejection fraction (LVEF). Aim: This study aimed to observe and to find any correlation between LVEF and AIP in newly diagnosed Type 2 diabetes mellitus patients. Materials and Methods: In this cross-sectional observational study, we recruited 140 (male 81, female 59) newly diagnosed Type 2 diabetes mellitus patients from a tertiary care hospital. Plasma lipids were measured from venous blood after 12-h fasting. The LVEF was measured by echocardiography. Data were presented as mean, standard deviation, and statistically tested by Chi-square and Pearson correlation coefficient in IBM SPSS Statistics 20. Results: The mean age of the participants was 53.95 ± 11.63 years (male 53.85 ± 11.12 years, female 54.08 ± 12.39 years, unpaired t-test P = 0.91). The mean LVEF was 0.59 ± 0.06 and 0.6 ± 0.05 (unpaired t-test P = 0.17) in males and females, respectively. The AIP was 0.57 ± 0.07 and 0.57 ± 0.07 (unpaired t-test P = 0.97) in males and females, respectively. There was a negative correlation (r = −0.56, P < 0.001) between LVEF and AIP. Conclusion: Newly diagnosed type 2 diabetes mellitus patients showed a high AIP. Hence, serum lipid profile may be tested early in these patients. Patients with a higher AIP may have lower LVEF. Hence, diabetic patients with a high AIP may be screened for LVEF periodically for early detection and management of heart failure.Shaikat MondalHimel MondalRitushri SamantarayDebasish DasSairavi Kiran BiriAvijit NaskarSebabrata JanaWolters Kluwer Medknow Publicationsarticlecholesteroldiabetes mellitusheart failurelipoproteinsstroke volumeventricular functionDiseases of the circulatory (Cardiovascular) systemRC666-701ENResearch in Cardiovascular Medicine, Vol 10, Iss 3, Pp 73-78 (2021)
institution DOAJ
collection DOAJ
language EN
topic cholesterol
diabetes mellitus
heart failure
lipoproteins
stroke volume
ventricular function
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle cholesterol
diabetes mellitus
heart failure
lipoproteins
stroke volume
ventricular function
Diseases of the circulatory (Cardiovascular) system
RC666-701
Shaikat Mondal
Himel Mondal
Ritushri Samantaray
Debasish Das
Sairavi Kiran Biri
Avijit Naskar
Sebabrata Jana
Atherogenic index of plasma and left ventricular ejection fraction in newly diagnosed type 2 diabetes mellitus patients
description Background: Atherogenic index of plasma (AIP), a logarithm of ratio of triglycerides and high-density lipoprotein-cholesterol is associated with the risk of cardiovascular diseases. The cardiovascular complication in Type 2 diabetes is often assessed by the left ventricular ejection fraction (LVEF). Aim: This study aimed to observe and to find any correlation between LVEF and AIP in newly diagnosed Type 2 diabetes mellitus patients. Materials and Methods: In this cross-sectional observational study, we recruited 140 (male 81, female 59) newly diagnosed Type 2 diabetes mellitus patients from a tertiary care hospital. Plasma lipids were measured from venous blood after 12-h fasting. The LVEF was measured by echocardiography. Data were presented as mean, standard deviation, and statistically tested by Chi-square and Pearson correlation coefficient in IBM SPSS Statistics 20. Results: The mean age of the participants was 53.95 ± 11.63 years (male 53.85 ± 11.12 years, female 54.08 ± 12.39 years, unpaired t-test P = 0.91). The mean LVEF was 0.59 ± 0.06 and 0.6 ± 0.05 (unpaired t-test P = 0.17) in males and females, respectively. The AIP was 0.57 ± 0.07 and 0.57 ± 0.07 (unpaired t-test P = 0.97) in males and females, respectively. There was a negative correlation (r = −0.56, P < 0.001) between LVEF and AIP. Conclusion: Newly diagnosed type 2 diabetes mellitus patients showed a high AIP. Hence, serum lipid profile may be tested early in these patients. Patients with a higher AIP may have lower LVEF. Hence, diabetic patients with a high AIP may be screened for LVEF periodically for early detection and management of heart failure.
format article
author Shaikat Mondal
Himel Mondal
Ritushri Samantaray
Debasish Das
Sairavi Kiran Biri
Avijit Naskar
Sebabrata Jana
author_facet Shaikat Mondal
Himel Mondal
Ritushri Samantaray
Debasish Das
Sairavi Kiran Biri
Avijit Naskar
Sebabrata Jana
author_sort Shaikat Mondal
title Atherogenic index of plasma and left ventricular ejection fraction in newly diagnosed type 2 diabetes mellitus patients
title_short Atherogenic index of plasma and left ventricular ejection fraction in newly diagnosed type 2 diabetes mellitus patients
title_full Atherogenic index of plasma and left ventricular ejection fraction in newly diagnosed type 2 diabetes mellitus patients
title_fullStr Atherogenic index of plasma and left ventricular ejection fraction in newly diagnosed type 2 diabetes mellitus patients
title_full_unstemmed Atherogenic index of plasma and left ventricular ejection fraction in newly diagnosed type 2 diabetes mellitus patients
title_sort atherogenic index of plasma and left ventricular ejection fraction in newly diagnosed type 2 diabetes mellitus patients
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/ca9081ed4a00416bbb42bec99df8b24c
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AT ritushrisamantaray atherogenicindexofplasmaandleftventricularejectionfractioninnewlydiagnosedtype2diabetesmellituspatients
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AT avijitnaskar atherogenicindexofplasmaandleftventricularejectionfractioninnewlydiagnosedtype2diabetesmellituspatients
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