دورية أكاديمية
Unveiling myocardial microstructure shifts: exploring the impact of diabetes in stable CAD patients through CMR T1 mapping.
العنوان: | Unveiling myocardial microstructure shifts: exploring the impact of diabetes in stable CAD patients through CMR T1 mapping. |
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المؤلفون: | Boros GAB; Department of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil., Hueb W; Department of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil. whady.hueb@incor.usp.br.; Divisão Clínica - Instituto do Coração (InCor), Faculdade de Medicina, Hospital das Clínicas - HCFMUSP, Universidade de São Paulo, Av. Dr. Enéas de Carvalho Aguiar 44, AB 1, Sala 114, Cerqueira César, São Paulo, 05403-000, SP, Brazil. whady.hueb@incor.usp.br., Rezende PC; Department of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil., Rochitte CE; Heart Institute (InCor), University of São Paulo, São Paulo, Brazil., Nomura CH; Heart Institute (InCor), University of São Paulo, São Paulo, Brazil., Lima EG; Department of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil., de Oliveira Laterza Ribeiro M; Department of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil., Dallazen AR; Department of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil., Garcia RMR; Department of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil., Ramires JAF; Department of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil., Kalil-Filho R; Department of Clinical Cardiology - Heart Institute (InCor), University of São Paulo, São Paulo, Brazil. |
المصدر: | Diabetology & metabolic syndrome [Diabetol Metab Syndr] 2024 Jul 09; Vol. 16 (1), pp. 156. Date of Electronic Publication: 2024 Jul 09. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101488958 Publication Model: Electronic Cited Medium: Print ISSN: 1758-5996 (Print) Linking ISSN: 17585996 NLM ISO Abbreviation: Diabetol Metab Syndr Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: [London] : BioMed Central |
مستخلص: | Background: This study investigates myocardial structural changes in stable coronary artery disease (CAD) patients with type 2 diabetes (T2D) using cardiac magnetic resonance (CMR) strain and T1 mapping. Methods: A total of 155 stable CAD patients underwent CMR examination, including left ventricular (LV) morphology and function assessment, late gadolinium enhancement (LGE), and feature tracking (CMR-FT) for LV global longitudinal, circumferential, and radial strain. T1 mapping with extracellular volume (ECV) evaluation was also performed. Results: Among the enrolled patients, 67 had T2D. Diabetic patients exhibited impaired LV strain and higher ECV compared to non-diabetics. Multivariate analysis identified T2D as an independent predictor of increased ECV and decreased strain. Conclusions: CMR-based strain and T1 mapping highlighted impaired myocardial contractility, elevated ECV, and potential interstitial fibrosis in diabetic patients with stable CAD. This suggests a significant impact of diabetes on myocardial health beyond CAD, emphasizing the importance of a comprehensive assessment in these individuals. Trial Registration: http://www.controlled-trials.com/ISRCTN09454308. (© 2024. The Author(s).) |
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فهرسة مساهمة: | Keywords: Cardiac magnetic resonance - feature tracking; Coronary artery disease; Extracellular volume; T1 mapping; Type 2 diabetes mellitus |
تواريخ الأحداث: | Date Created: 20240709 Latest Revision: 20240712 |
رمز التحديث: | 20240712 |
مُعرف محوري في PubMed: | PMC11232262 |
DOI: | 10.1186/s13098-024-01395-9 |
PMID: | 38982515 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1758-5996 |
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DOI: | 10.1186/s13098-024-01395-9 |