Superoxide dismutases: marker in predicting reduced left ventricular ejection fraction in patients with type 2 diabetes and acute coronary syndrome
Abstract Aim To examine the prognostic value of superoxide dismutase (SOD) activity for monitoring reduced left ventricular ejection fraction(LVEF)in the patients with type 2 diabetes and acute coronary syndrome (ACS). Methods The population of this cross-sectional study included 2377 inpatients wit...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Cardiovascular Disorders |
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| Online Access: | https://doi.org/10.1186/s12872-024-03867-2 |
| _version_ | 1797220012003426304 |
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| author | Xiu-Yun Jiang Qing Chen Xiao-Yu Chen Qiu-Ying Sun Fei Jing Hai-Qing Zhang Jin Xu Xiao-Hong Li Qing-Bo Guan |
| author_facet | Xiu-Yun Jiang Qing Chen Xiao-Yu Chen Qiu-Ying Sun Fei Jing Hai-Qing Zhang Jin Xu Xiao-Hong Li Qing-Bo Guan |
| author_sort | Xiu-Yun Jiang |
| collection | DOAJ |
| description | Abstract Aim To examine the prognostic value of superoxide dismutase (SOD) activity for monitoring reduced left ventricular ejection fraction(LVEF)in the patients with type 2 diabetes and acute coronary syndrome (ACS). Methods The population of this cross-sectional study included 2377 inpatients with type 2 diabetes who had an ACS admitted to the Shandong Provincial Hospital Affiliated to Shandong First Medical University from January 2016 to January 2021. Results Diabetic patients with ACS were divided into 2 subgroups based on LVEF. The mean SOD activity was significantly lower in patients with an LVEF ≤ 45% than in those with an LVEF > 45% (149.1 (146.4, 151.9) versus 161.9 (160.8, 163.0)). Using ROC statistic, a cut-off value of 148.8 U/ml indicated an LVEF ≤ 45% with a sensitivity of 51.6% and a specificity of 73.7%. SODs activity were found to be correlated with the levels of NT-proBNP, hs-cTnT, the inflammatory marker CRP and fibrinogen. Despite taking the lowest quartile as a reference (OR 0.368, 95% CI 0.493–0.825, P = 0.001) or examining 1 normalized unit increase (OR 0.651, 95% CI 0.482–0.880, P = 0.005), SOD activity was found to be a stronger predictor of reduced LVEF than CRP and fibrinogen, independent of confounding factors. Conclusions Our cross-sectional study suggests that SOD activity might be a valuable and easily accessible tool for assessing and monitoring reduced LVEF in the diabetic patients with ACS. |
| first_indexed | 2024-04-24T12:42:46Z |
| format | Article |
| id | doaj.art-94e3d23389f64182b843135ebd0b8f30 |
| institution | Directory Open Access Journal |
| issn | 1471-2261 |
| language | English |
| last_indexed | 2024-04-24T12:42:46Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cardiovascular Disorders |
| spelling | doaj.art-94e3d23389f64182b843135ebd0b8f302024-04-07T11:07:43ZengBMCBMC Cardiovascular Disorders1471-22612024-04-012411810.1186/s12872-024-03867-2Superoxide dismutases: marker in predicting reduced left ventricular ejection fraction in patients with type 2 diabetes and acute coronary syndromeXiu-Yun Jiang0Qing Chen1Xiao-Yu Chen2Qiu-Ying Sun3Fei Jing4Hai-Qing Zhang5Jin Xu6Xiao-Hong Li7Qing-Bo Guan8Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityInternational Medical Service Department, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityAbstract Aim To examine the prognostic value of superoxide dismutase (SOD) activity for monitoring reduced left ventricular ejection fraction(LVEF)in the patients with type 2 diabetes and acute coronary syndrome (ACS). Methods The population of this cross-sectional study included 2377 inpatients with type 2 diabetes who had an ACS admitted to the Shandong Provincial Hospital Affiliated to Shandong First Medical University from January 2016 to January 2021. Results Diabetic patients with ACS were divided into 2 subgroups based on LVEF. The mean SOD activity was significantly lower in patients with an LVEF ≤ 45% than in those with an LVEF > 45% (149.1 (146.4, 151.9) versus 161.9 (160.8, 163.0)). Using ROC statistic, a cut-off value of 148.8 U/ml indicated an LVEF ≤ 45% with a sensitivity of 51.6% and a specificity of 73.7%. SODs activity were found to be correlated with the levels of NT-proBNP, hs-cTnT, the inflammatory marker CRP and fibrinogen. Despite taking the lowest quartile as a reference (OR 0.368, 95% CI 0.493–0.825, P = 0.001) or examining 1 normalized unit increase (OR 0.651, 95% CI 0.482–0.880, P = 0.005), SOD activity was found to be a stronger predictor of reduced LVEF than CRP and fibrinogen, independent of confounding factors. Conclusions Our cross-sectional study suggests that SOD activity might be a valuable and easily accessible tool for assessing and monitoring reduced LVEF in the diabetic patients with ACS.https://doi.org/10.1186/s12872-024-03867-2Superoxide dismutasesPatients with type 2 diabetes and acute coronary syndromeReduced left ventricular ejection fraction |
| spellingShingle | Xiu-Yun Jiang Qing Chen Xiao-Yu Chen Qiu-Ying Sun Fei Jing Hai-Qing Zhang Jin Xu Xiao-Hong Li Qing-Bo Guan Superoxide dismutases: marker in predicting reduced left ventricular ejection fraction in patients with type 2 diabetes and acute coronary syndrome BMC Cardiovascular Disorders Superoxide dismutases Patients with type 2 diabetes and acute coronary syndrome Reduced left ventricular ejection fraction |
| title | Superoxide dismutases: marker in predicting reduced left ventricular ejection fraction in patients with type 2 diabetes and acute coronary syndrome |
| title_full | Superoxide dismutases: marker in predicting reduced left ventricular ejection fraction in patients with type 2 diabetes and acute coronary syndrome |
| title_fullStr | Superoxide dismutases: marker in predicting reduced left ventricular ejection fraction in patients with type 2 diabetes and acute coronary syndrome |
| title_full_unstemmed | Superoxide dismutases: marker in predicting reduced left ventricular ejection fraction in patients with type 2 diabetes and acute coronary syndrome |
| title_short | Superoxide dismutases: marker in predicting reduced left ventricular ejection fraction in patients with type 2 diabetes and acute coronary syndrome |
| title_sort | superoxide dismutases marker in predicting reduced left ventricular ejection fraction in patients with type 2 diabetes and acute coronary syndrome |
| topic | Superoxide dismutases Patients with type 2 diabetes and acute coronary syndrome Reduced left ventricular ejection fraction |
| url | https://doi.org/10.1186/s12872-024-03867-2 |
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