Table 2.
Cardiac parameter | Model 1 | Model 2 | Model 3 | Model 4 | Model 5 | |||||
---|---|---|---|---|---|---|---|---|---|---|
| ||||||||||
β-coefficient (95% CI) | p-value | β-coefficient (95% CI) | p-value | β-coefficient (95% CI) | p-value | β-coefficient (95% CI) | p-value | β-coefficient (95% CI) | p-value | |
GLS (All Subjects) | −0.16 (−0.24, −0.08) | <0.001 | −0.17 (−0.25, −0.09) | <0.001 | −0.16 (−0.23, −0.08) | <0.001 | −0.13 (−0.21, −0.05) | 0.001 | −0.16 (−0.24, −0.08) | <0.001 |
GLS (No LVH) | −0.19 (−0.28, −0.11) | <0.001 | −0.21 (−0.29, −0.12) | <0.001 | −0.19 (−0.28, −0.11) | <0.001 | −0.18 (−0.26, −0.09) | <0.001 | −0.2 (−0.28, −0.11) | <0.001 |
GLS (No DM) | −0.17 (−0.26, −0.08) | <0.001 | −0.18 (−0.27, −0.09) | <0.001 | −0.17 (−0.26, −0.08) | <0.001 | −0.13 (−0.22, −0.04) | 0.004 | −0.17 (−0.26, −0.08) | <0.001 |
GLS (UACR <30mg/g) | −0.21 (−0.32, −0.10) | <0.001 | −0.23 (−0.35, −0.12) | <0.001 | −0.21 (−0.32, −0.09) | <0.001 | −0.17 (−0.28, −0.05) | 0.004 | −0.22 (−0.34, −0.11) | <0.001 |
E/e′ Ratio (All subjects) | 0.78 (0.27, 1.29) | 0.003 | 0.81 (0.30, 1.32) | 0.002 | 0.77 (0.26, 1.27) | 0.003 | 0.56 (0.17, 0.95) | 0.005 | 0.61 (0.08, 1.15) | 0.025 |
E/e′ Ratio (No DM) | 0.70 (0.17, 1.22) | 0.009 | 0.72 (0.19, 1.25) | 0.007 | 0.69 (0.17, 1.22) | 0.009 | 0.46 (0.06, 0.85) | 0.02 | 0.59 (0.03, 1.14) | 0.04 |
β-coefficient shown represents change in cardiac index per doubling of UACR; UACR = urinary albumin-to-creatinine ratio; GLS = global longitudinal strain; LVH = left ventricular hypertrophy; DM = diabetes mellitus; CI = confidence interval
Model 1: adjusted for speckle-tracking analyst, study site, image quality, age, sex, body mass index, estimated glomerular filtration rate, diabetes mellitus, coronary artery disease, systolic blood pressure, use of any antihypertensive medication, history of smoking, left ventricular mass index, and ejection fraction
Model 2: Model 1 except adjusted for ethnicity instead of study site
Model 3: Model 1 except adjusted for angiotensin converting enzyme inhibitor/angiotensin II receptor blocker and non-dihydropyridine calcium channel blocker use instead of any anti-hypertensive
Model 4: Model 1 + additional adjustment e′ velocity as a marker of diastolic dysfunction
Model 5: Model 1 + additional adjustment for pulse pressure/stroke volume as a marker of arterial stiffness