Diabetes, Heart Failure
Conditions
Keywords
diabetes, heart failure, ejection fraction
Brief summary
The study has been carried out to determine diagnostic and therapeutic pathways in a group of HF diabetic patients and to verify whether the use of innovative antidiabetic therapies could modify echocardiographic parameters and influence cardiological therapy.
Detailed description
406 patients affected with heart failure and Type 2 Diabetes Mellitus, referred to Cardiologists and Diabetologists of pertaining healthcare districts in Campania, and followed for at least one year between 2018 and 2019, were enrolled in this retrospective study and divided in Group A, composed of 136 HF diabetic patients with preserved Ejection Fraction (HF-pEF) (\>45%) and Group B, formed of 270 HF diabetic patients with reduced EF (HF-rEF) (≤45%). All patients had performed periodic clinical evaluations and an echocardiographic exam every 12 months. Anthropometric parameters, HF etiology, co-morbidities, complications and ongoing therapies were collected.
Interventions
Verify whether the use of innovative antidiabetic therapies could modify echocardiographic parameters and influence cardiological therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* age at least 65 years * presence of chronic HF, defined as a stable clinical syndrome with typical symptoms and signs and echocardiographic evidence of cardiac involvement * New York Heart Association (NYHA) class II-III * diagnosis of T2DM from at least 2 years
Exclusion criteria
* cardiac surgery performed during the last year * age less than 65 years * significant valvulopathies * malignant neoplasms * advanced chronic kidney disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Cholesterol, LDL, HDL Triglycerides, Creatinine | 12 months | mg/dl |
| B-type natriuretic peptide (BNP) | 12 months | pmol/m |
| HbA1c | 12 months | mmol/L |
| Ejection Fraction | 12 months | — |
| Left Ventricular End-Diastolic Volume Index (LV-EDVi), Left Ventricular End-Systolic Volume Index (LV-ESVi), Left Atrial Volume Index (LAVi) | 12 months | ml/m2 |
| E velocity, A velocity,E' velocity | 12 months | m/sec |
Countries
Italy