Table 2.
Echocardiographic characteristics of the study population according to glucose metabolism status
Variable | NGM (n = 426) | Prediabetes (n = 142) | T2DM (n = 224) | |||
---|---|---|---|---|---|---|
Left atrium | ||||||
LA volume index, ml/m2 | ||||||
Men | 30.8 [26.6–34.9] | 28.9 [25.0–34.7] | 29.7 [25.2–34.5] | |||
Women | 28.6 [24.7–33.3] | 28.6 [25.3–33.2] | 26.3 [23.2–32.4] | |||
LA volume, ml | ||||||
Men | 62.0 [53.3–72.4] | 62.3 [50.9–72.9] | 61.1 [52.4–72.0] | |||
Women | 50.9 [43.6–59.2] | 52.9 [43.6–59.2] | 51.3 [42.3–59.6] | |||
Left ventricle, structure | ||||||
LV end diastolic volume index, ml/m2 | ||||||
Men | 68.5 ± 12.5 | 65.9 ± 11.8 | 63.0 ± 12.3‡ | |||
Women | 59.1 ± 10.6 | 58.1 ± 11.3 | 57.6 ± 11.9 | |||
LV end systolic volume index, ml/m2 | ||||||
Men | 27.5 ± 6.1 | 26.7 ± 6.2 | 25.9 ± 6.3† | |||
Women | 23.2 ± 4.6 | 23.0 ± 5.0 | 22.8 ± 5.3 | |||
LV mass index, gr/m2.7 | ||||||
Men | 29.5 [25.3–35.1] | 31.5 [27.4–35.0] | 32.8 [27.0–37.5]‡ | |||
Women | 27.3 [24.0–31.3] | 31.1 [25.5–36.7]‡ | 31.2 [27.1–34.7]‡ | |||
Left ventricular function | ||||||
Systolic LV function | ||||||
LV ejection fraction, % | 60.5 [58.8–62.4] | 60.4 [58.8–62.0] | 60.2 [57.8–61.7]‡ | |||
TDI S’ septal (cm/s)a | 7.5 ± 1.4 | 7.3 ± 1.3 | 7.4 ± 1.7 | |||
TDI S’ lateral (cm/s)b | 8.8 ± 2.0 | 8.8 ± 2.1 | 8.2 ± 2.0‡ | |||
Diastolic LV function | ||||||
Early peak velocity (m/s) | 0.68 ± 0.15 | 0.66 ± 0.14 | 0.68 ± 0.15 | |||
Active peak velocity (m/s)c | 0.66 ± 0.15 | 0.72 ± 0.17‡ | 0.75 ± 0.16‡ | |||
E/A ratioc | 1.03 [0.85–1.26] | 0.89 [0.75–1.08]‡ | 0.89 [0.77–1.07]‡ | |||
Deceleration time E-peak (msec) | 191 ± 35 | 204 ± 38‡ | 202 ± 37‡ | |||
Isovolumetric relaxation time (msec)d | 94 ± 21 | 100 ± 24‡ | 94 ± 22 | |||
S/D ratioe | 1.38 ± 0.32 | 1.45 ± 0.36† | 1.46 ± 0.31‡ | |||
TDI E’ septal (cm/s)b | 8.3 | ± 2.2 | 7.1 | ± 1.7‡ | 7.1 | ± 1.8‡ |
TDI A’ septal (cm/s)f | 9.8 ± 1.8 | 9.8 ± 1.7 | 10.0 ± 1.9 | |||
TDI E’ lateral (cm/s)g | 10.7 ± 2.7 | 9.5 ± 2.5‡ | 8.9 ± 2.2‡ | |||
TDI A’ lateral (cm/s)h | 10.6 ± 2.5 | 11.1 ± 2.4† | 11.1 ± 2.3† | |||
E/E’-ratio averagedi | 7.3 [6.2–8.7] | 8.0 [6.9–9.7]‡ | 8.7 [7.6–10.1]‡ | |||
Diastolic LV function (normal, indeterminate, abnormal, not specified), n (%) | 175/183/42/26 (41.1/43.0/9.9/6.1) | 30/79/23/10 (21.1/55.6/16.2/7.0)‡ | 44/115/40/25 (19.6/51.3/17.9/11.2)‡ | |||
Right atrium | ||||||
RA volume index, ml/m2 | ||||||
Men | 25.2 ± 7.2 | 22.1 ± 6.8‡ | 21.7 ± 6.2‡ | |||
Women | 21.3 ± 6.0 | 19.7 ± 5.5 | 18.3 ± 5.3‡ | |||
RA volume, ml | ||||||
Men | 48.1 [40.0–58.8] | 43.4 [35.3–54.8]‡ | 43.7 [36.7–51.9]‡ | |||
Women | 36.0 29.7–45.1 | 36.0 [28.6–40.7] | 33.7 [28.0–40.2]† | |||
Right ventricle, structure | ||||||
RV diameter | ||||||
Men | 41.3 ± 5.2 | 39.9 ± 5.3† | 39.8 ± 4.7‡ | |||
Women | 35.6 ± 4.7 | 35.8 ± 5.6 | 35.0 ± 4.2 | |||
RV length | ||||||
Men | 75.8 ± 7.5 | 75.8 ± 7.0 | 75.9 ± 7.2 | |||
Women | 69.8 ± 6.6 | 70.3 ± 6.2 | 70.2 ± 7.3 | |||
Right ventricular function | ||||||
Systolic RV function | ||||||
S’ RV (cm/s)j | 12.8 ± 2.4 | 12.4 ± 2.2 | 12.4 ± 2.5 | |||
TAPSE (mm)k | 23.0 ± 2.9 | 22.0 ± 3.6 | 22.3 ± 4.4 | |||
Diastolic RV function | ||||||
E-peak velocity tricuspid flow (m/s)l | 0.46 ± 0.09 | 0.44 ± 0.09 | 0.44 ± 0.08 | |||
A-peak velocity tricuspid flow (m/s)m | 0.35 ± 0.10 | 0.41 ± 0.07† | 0.41 ± 0.09‡ | |||
E/A ratio tricuspid valvem | 1.30 [1.12–1.58] | 1.10 [0.91–1.22]‡ | 1.10 [0.90–1.26]‡ | |||
TDI E’ RV (cm/s)n | 11.9 ± 2.7 | 10.4 ± 2.7‡ | 10.5 ± 2.7‡ | |||
TDI A’ RV (cm/s)o | 14.6 ± 3.5 | 13.9 ± 3.1† | 14.1 ± 3.4 | |||
E/E′-ratiok | 4.3 [3.6–5.0] | 4.8 [4.1–5.7] | 4.6 [3.4–5.9] | |||
Global RV function | ||||||
Myocardial performance index RVp | 0.47 ± 0.12 | 0.47 ± 0.12 | 0.48 ± 0.11 | |||
Maximum tricuspid gradient | 15.8 ± 6.2 | 14.7 ± 7.6 | 14.9 ± 7.2 | |||
Wall motion abnormalities, n yes (%)q | 2 (0.5) | 2 (1.4) | 5 (2.3)† | |||
Valvular dysfunction (moderate or severe), n (%) | 28 (6.6) | 8 (5.6) | 13 (5.8) |
Data are presented as n (%), mean ± standard deviation or median (interquartile range)
LA left atrial, LV left ventricular, TDI tissue Doppler imaging, RA right atrial, tricuspid annular plane systolic excursion, RV right ventricular
Numbers of missing data (if n > 10); a n = 62; b n = 63; c n = 14; d n = 26; e n = 22; f n = 72; g n = 64; h n = 73; i n = 67; j n = 70; k n = 645; l n = 644; m n = 647; n n = 71; o n = 80; p n = 74; q n = 15
P value difference prediabetes or T2DM vs NGM: * < 0.10, † < 0.05, ‡ < 0.01