Correlation between plasma proBNP, echocardiographic and clinical parameters in patientswith type 2 diabetes mellitus

Aims. To assess plasma level of N-terminal precursor for brain natriuretic peptide (proBNP) in patients with type 2 diabetes mellitus (T2DM) and arterial hypertension without overt heart failure ? and further estimation of its correlation with data from echocardiog- raphy and clinical parameters (s...

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Autores principales: Irina Arkad'evna Bondar', Daria Vladimirovna Grazhdankina, S V Ivanov, Tatiana Viktorovna Panteleeva
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Publicado: Endocrinology Research Centre 2013
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spelling oai:doaj.org-article:fed770e8a2bd4759b7b862497fbe6bc72021-11-14T09:00:18ZCorrelation between plasma proBNP, echocardiographic and clinical parameters in patientswith type 2 diabetes mellitus2072-03512072-037810.14341/2072-0351-3593https://doaj.org/article/fed770e8a2bd4759b7b862497fbe6bc72013-03-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/3593https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Aims. To assess plasma level of N-terminal precursor for brain natriuretic peptide (proBNP) in patients with type 2 diabetes mellitus (T2DM) and arterial hypertension without overt heart failure ? and further estimation of its correlation with data from echocardiog- raphy and clinical parameters (severity of ischemic heart disease (IHD), age, sex, duration of T2DM and hypertension experience, characteristics of glucose and lipid metabolism, renal function. Materials and methods. We examined 94 patients with T2DM and arterial hypertension (aged 40?65 years), determining character- istics of glucose and lipid metabolism and renal function. We also performed six minute walk test, ECG, echocardiography and blood tests for N-terminal proBNP (NT-proBNP) in all study subjects. Acquired data was compared to the group of 30 healthy controls. Results. We observed an increase in plasma NT-proBNP in patients with IHD, history of left venctricular (LV) myocardial infarction or clinical signs of heart failure (II NYHA class and higher). Results from patients with T2DM and arterial hypertension but without IHD did not significantly differ from control group. Plasma NT-proBNP levels correlated with left ventricular ejection fraction, left ventricular EDD and ESD, but not with LV diastolic function parameters. Duration of T2DM and arterial hypertension, HbA1c levels,27Сахар ный диабет КардиологияСахарный диабет. 2013;(1):27?32BMI, lipid and uric acid metabolism parameters had no influence on plasma NT-proBNP in diabetic patients. Conclusion. According to our study, NT-proBNP was elevated in T2DM patients with IHD (and a history of LV myocardial infarc- tion in particular) or clinical evidence for heart failure beyond II NYHA class, thus indicating unfavorable prognosis for this group of patients and need for correction of therapy with subsequent re-evaluation of plasma NT-proBNP.Irina Arkad'evna Bondar'Daria Vladimirovna GrazhdankinaS V IvanovTatiana Viktorovna PanteleevaEndocrinology Research Centrearticleischemic heart diseasetype 2 diabetes mellitusheart failurent-probnpNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 16, Iss 1, Pp 27-32 (2013)
institution DOAJ
collection DOAJ
language EN
RU
topic ischemic heart disease
type 2 diabetes mellitus
heart failure
nt-probnp
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle ischemic heart disease
type 2 diabetes mellitus
heart failure
nt-probnp
Nutritional diseases. Deficiency diseases
RC620-627
Irina Arkad'evna Bondar'
Daria Vladimirovna Grazhdankina
S V Ivanov
Tatiana Viktorovna Panteleeva
Correlation between plasma proBNP, echocardiographic and clinical parameters in patientswith type 2 diabetes mellitus
description Aims. To assess plasma level of N-terminal precursor for brain natriuretic peptide (proBNP) in patients with type 2 diabetes mellitus (T2DM) and arterial hypertension without overt heart failure ? and further estimation of its correlation with data from echocardiog- raphy and clinical parameters (severity of ischemic heart disease (IHD), age, sex, duration of T2DM and hypertension experience, characteristics of glucose and lipid metabolism, renal function. Materials and methods. We examined 94 patients with T2DM and arterial hypertension (aged 40?65 years), determining character- istics of glucose and lipid metabolism and renal function. We also performed six minute walk test, ECG, echocardiography and blood tests for N-terminal proBNP (NT-proBNP) in all study subjects. Acquired data was compared to the group of 30 healthy controls. Results. We observed an increase in plasma NT-proBNP in patients with IHD, history of left venctricular (LV) myocardial infarction or clinical signs of heart failure (II NYHA class and higher). Results from patients with T2DM and arterial hypertension but without IHD did not significantly differ from control group. Plasma NT-proBNP levels correlated with left ventricular ejection fraction, left ventricular EDD and ESD, but not with LV diastolic function parameters. Duration of T2DM and arterial hypertension, HbA1c levels,27Сахар ный диабет КардиологияСахарный диабет. 2013;(1):27?32BMI, lipid and uric acid metabolism parameters had no influence on plasma NT-proBNP in diabetic patients. Conclusion. According to our study, NT-proBNP was elevated in T2DM patients with IHD (and a history of LV myocardial infarc- tion in particular) or clinical evidence for heart failure beyond II NYHA class, thus indicating unfavorable prognosis for this group of patients and need for correction of therapy with subsequent re-evaluation of plasma NT-proBNP.
format article
author Irina Arkad'evna Bondar'
Daria Vladimirovna Grazhdankina
S V Ivanov
Tatiana Viktorovna Panteleeva
author_facet Irina Arkad'evna Bondar'
Daria Vladimirovna Grazhdankina
S V Ivanov
Tatiana Viktorovna Panteleeva
author_sort Irina Arkad'evna Bondar'
title Correlation between plasma proBNP, echocardiographic and clinical parameters in patientswith type 2 diabetes mellitus
title_short Correlation between plasma proBNP, echocardiographic and clinical parameters in patientswith type 2 diabetes mellitus
title_full Correlation between plasma proBNP, echocardiographic and clinical parameters in patientswith type 2 diabetes mellitus
title_fullStr Correlation between plasma proBNP, echocardiographic and clinical parameters in patientswith type 2 diabetes mellitus
title_full_unstemmed Correlation between plasma proBNP, echocardiographic and clinical parameters in patientswith type 2 diabetes mellitus
title_sort correlation between plasma probnp, echocardiographic and clinical parameters in patientswith type 2 diabetes mellitus
publisher Endocrinology Research Centre
publishDate 2013
url https://doaj.org/article/fed770e8a2bd4759b7b862497fbe6bc7
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AT svivanov correlationbetweenplasmaprobnpechocardiographicandclinicalparametersinpatientswithtype2diabetesmellitus
AT tatianaviktorovnapanteleeva correlationbetweenplasmaprobnpechocardiographicandclinicalparametersinpatientswithtype2diabetesmellitus
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