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Table 2 Echocardiography and cardiac magnetic resonance analysis of the patients with and without diabetes in the imaging cohort

From: Systemic proinflammatory−profibrotic response in aortic stenosis patients with diabetes and its relationship with myocardial remodeling and clinical outcome

 

Total (n = 253)

Non-DM (N = 187)

DM (N = 66)

p-value

Echocardiography

LV end-diastolic dimension (mm)

50.2 ± 6.7

50.1 ± 6.8

50.6 ± 6.4

0.633

LV end-systolic dimension (mm)

31.8 ± 7.8

31.5 ± 7.4

32.4 ± 9.0

0.423

LV mass index (g/m2)

132 ± 40

133 ± 41

130 ± 37

0.625

Relative wall thickness

0.44 ± 0.09

0.44 ± 0.09

0.44 ± 0.09

0.974

LV ejection fraction (%)

59.6 ± 9.9

60.3 ± 8.9

57.6 ± 12.0

0.104

Left atrial diameter (mm)

43.8 ± 6.9

43.4 ± 7.1

44.8 ± 6.2

0.181

E velocity (m/s)

0.79 ± 0.38

0.76 ± 0.36

0.88 ± 0.43

0.038

A velocity (m/s)

0.87 ± 0.29

0.86 ± 0.30

0.90 ± 0.26

0.335

Deceleration time (ms)

247 ± 79

253 ± 83

229 ± 64

0.022

E/A

0.78 [0.63–1.10]

0.78 [0.63–1.09]

0.78 [0.60–1.10]

0.894

e′ velocity (cm/s)

4.6 ± 1.4

4.7 ± 1.4

4.2 ± 1.4

0.007

a′ velocity (cm/s)

7.3 ± 1.8

7.3 ± 1.7

7.2 ± 2.1

0.714

s′ velocity (cm/s)

5.1 ± 1.4

5.2 ± 1.4

4.9 ± 1.5

0.132

E/e′

15.7 [12.3–21.2]

15.2 [12.1–20.0]

19.2 [13.3–31.0]

0.002

TR Vmax (m/s)

2.5 ± 0.4

2.5 ± 0.4

2.7 ± 0.6

0.013

PASP (mmHg)

34.4 ± 9.4

33.3 ± 8.0

38.0 ± 12.4

0.015

Left atrial volume index (mL/m2)

49.2 [39.0–62.7]

50.8 [38.0–63.2]

48.0 [41.2–58.0]

0.642

Peak aortic velocity (m/s)

4.7 ± 0.8

4.8 ± 0.8

4.5 ± 0.9

0.036

AV mean PG (mmHg)

55 ± 21

56 ± 22

51 ± 21

0.095

AV area (cm2)

0.76 ± 0.23

0.76 ± 0.22

0.74 ± 0.25

0.371

AS severity (by AV area)

0.803

 Severe AS

218 (86.5)

162 (87.1)

56 (84.8)

 

 Moderate AS

34 (13.5)

24 (12.9)

10 (15.2)

 

Presence of LVDD (n = 231)

139 (60.2)

92 (53.5)

47 (79.7)

0.001

LVDD grade (n = 208)

0.013

 Normal

40 (19.2)

38 (23.9)

2 (4.1)

 

 Indeterminate

52 (25.0)

42 (26.4)

10 (20.4)

 

 Grade 1 LVDD

21 (10.1)

14 (8.8)

7 (14.3)

 

 Grade 2 LVDD

85 (40.9)

58 (36.5)

27 (55.1)

 

 Grade 3 LVDD

10 (4.8)

7 (4.4)

3 (6.1)

 

Cardiac magnetic resonance

Indexed LVEDV (mL/m2)

109.3 ± 47.8

112.2 ± 50.8

100.9 ± 36.8

0.056

Indexed LVESV (mL/m2)

45.1 ± 34.3

45.6 ± 35.9

43.8 ± 29.3

0.715

Indexed LVSV (mL/m2)

58.0 ± 17.4

60.5 ± 18.0

50.9 ± 13.2

 < 0.001

LV ejection fraction (%)

62.9 ± 13.8

64.0 ± 13.5

59.5 ± 14.0

0.021

LV mass index (g/m2)

101.6 ± 36.7

101.6 ± 37.0

101.3 ± 36.1

0.950

LV mass/volume ratioa (g/mL)

1.00 ± 0.34

0.98 ± 0.35

1.05 ± 0.32

0.191

ECV (%)

26.8 [25.1–28.9]

26.7 [24.9–28.5]

27.9 [25.7–30.1]

0.025

Presence of LGE

112 (44.3)

75 (40.1)

37 (56.1)

0.036

LGE (%)

0.0 [0.0–0.7]

0.0 [0.0–0.5]

0.3 [0.0–1.6]

0.009

 LGE (%) in patients with LGE

0.8 [0.2–1.9]

0.6 [0.2–1.5]

1.2 [0.4–2.9]

0.026

  1. AV, aortic valve; ECV, extracellular volume fraction; LGE, late gadolinium enhancement; LV, left ventricular; LVDD, LV diastolic dysfunction; LVEDV, LV end-diastolic volume; LVESV, LV end-systolic volume; LVSV, LV stroke volume; PASP, pulmonary artery systolic pressure; PG, pressure gradient; TR, tricuspid regurgitation; Vmax, maximum velocity
  2. aLV mass divided by LV end-diastolic volume