early detection of cardiac disease in diabetic patients at high risk of foot ulcers by N-terminal pro B-type natriuretic peptide (NT-proBNP) level N-terminal pro B-type natriuretic peptide (NT-proBNP) , diabetic patients at high risk of foot ulcers, heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. High risk diabetic foot ulcers patients : diagnosis criteria -Loss of Protective Sensation or Peripheral Artery Disease and one or more of the following: - history of a foot ulcer and there is a foot ulcer, the ulcer must not have an active infection. - a lower-extremity amputation (minor or major) 2. Age is over 18 years old.
Exclusion criteria
Exclusion criteria: 1. History of heart disease -myocardium infarction - heart failure or symptomatic of heart failure - constrictive pericarditis -cardiac tamponade -valvular heart disease -hypertrophic cardiomyopathy -persistent cardiac arrhythmias 2. eGFR calculated by CKD-EPI < 30 ml/min/1.732 3. Hb < 8 gm/dl 4. Assay interference If one receives medication or levels of substances that exceed the specified threshold, it may affect the NT-proBNP test results. -Bilirubin > 25 mg/dL -fasting triglyceride > 1500 mg/dL - Individuals who are taking medication containing biotin. - Rheumatoid arthritis, TB, connective tissue disease, hematologic malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| N-terminal pro B-type natriuretic peptide (NT-proBNP) within 12 months after included to study prevalence, elevated N-terminal pro B-type natriuretic peptide (NT-proBNP) levels within 12 months after included to study factor | — |
Secondary
| Measure | Time frame |
|---|---|
| cardiac abnormalities within 12 months after exam N-terminal pro B-type natriuretic peptide (NT-proBNP) echocardiogram | — |
Countries
Thailand
Contacts
Faculty of Medicine, Thammasat University