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Table 2 Sex-related differences of cardiac structure and function in HFpEF patients with and without DM

From: Effect of diabetes mellitus on the development of left ventricular contractile dysfunction in women with heart failure and preserved ejection fraction

 

Nondiabetic patients (n = 134)

p-value

Diabetic patients (n = 90)

p-value

Women (n = 61)

Men (n = 73)

Women (n = 47)

Men (n = 43)

Cardiac MRI parameters

 LVEDV, mL

108.9 ± 22.4

131.0 ± 14.1

< 0.001

114.8 ± 27.1

142.4 ± 39.4

0.019

 LVEDV index, mL/m2

75.2 ± 16.3

80.4 ± 11.6

0.182

78.3 ± 18.7

81.0 ± 23.3

0.709

 LVESV, mL

46.3 ± 14.4

58.8 ± 9.9

< 0.001

50.5 ± 17.9

67.3 ± 23.5

0.021

 LVESV index, mL/m2

31.9 ± 10.5

36.2 ± 7.6

0.097

34.4 ± 11.8

38.9 ± 15.3

0.337

 LVSV, mL

62.7 ± 15.0

72.2 ± 10.3

0.010

64.4 ± 19.8

75.1 ± 22.8

0.141

 LVSV index, mL/m2

43.2 ± 10.5

44.2 ± 7.2

0.683

43.9 ± 13.9

42.1 ± 11.8

0.679

 LVEF, %

58.6 ± 7.9

55.7 ± 4.9

0.123

58.9 ± 7.5

56.5 ± 6.4

0.304

 LVM, g

105.8 (95.1–129.8)

137.7 (112.3–175.1)

< 0.001

119.5 (100.7–133.2)*

150.5 (129.7–169.9)#

< 0.001

 LVM index, g/m2

70.0 (62.5–88.1)

81.3 (67.6–101.7)

0.044

82.9 (67.6–90.1)*

83.5 (70.7–96.9)

0.612

 LAV, mL

66.2 ± 32.0

72.9 ± 33.0

0.374

56.4 ± 23.1*

53.3 ± 28.1#

0.705

 LAV index, mL/m2

44.5 ± 22.2

43.6 ± 19.8

0.857

37.9 ± 15.1

37.3 ± 19.2

0.906

Echocardiographic parameters

 LVEF, %

61.0 ± 9.8

59.1 ± 8.1

0.319

62.6 ± 10.1

60.2 ± 8.7

0.343

 E/A ratio

1.0 (0.6, 1.6)

1.3 (0.7, 1.9)

0.263

0.8 (0.7, 1.4)

1.3 (0.8, 1.5)

0.155

 E/e’ average ratio

19.1 ± 3.0

17.3 ± 2.3

0.025

20.3 ± 2.9

18.1 ± 3.1

0.006

 RWT

0.38 (0.35–0.42)

0.39 (0.33–0.42)

0.220

0.40 (0.36–0.43)

0.40 (0.34–0.42)

0.540

 PASP, mmHg

36.9 ± 4.9

34.8 ± 8.1

0.295

36.2 ± 7.9

37.0 ± 7.9

0.747

  1. Data are presented as mean ± SD, or media (Q1–Q3)
  2. HFpEF: heart failure with preserved ejection fraction; DM: diabetes mellitus; LVEDV: left ventricular end-diastolic volume; LVESV: left ventricular end-systolic volume; LVSV: left ventricular stroke volume; LVEF: left ventricular ejection fraction; LVM: left ventricular mass; LAV: left atrial volume; E: peak early diastolic filling velocity; A: late diastolic filling velocity during atrial contraction; e’: mitral annular tissue velocity during early filling; RWT: relative wall thickness; PASP: pulmonary artery systolic pressure
  3. *p-value < 0.05 vs. women without DM
  4. #p-value < 0.05 vs. men without DM