Inflammation, Left Ventricular Mass Index and Chronic Renal Failure in Diabetic Patients

Aim:The aim of this study was to determine the relationship between left ventricular hypertrophy (LVH) and inflammatory markers in patients with type 2 Diabetes Mellitus (T2DM) with diabetic nephropathy at different stages.Methods:Our study was a cross-sectional study involving patients with various...

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Main Authors: Egemen Cebeci, Nilay Şengül Samancı, Sami Uzun, Serhat Karadağ, Meltem Gürsu, Tuba Elif Şenel Özler, Mustafa Velet, Savaş Öztürk
Format: Article
Language:English
Published: Galenos Yayinevi 2020-03-01
Series:Haseki Tıp Bülteni
Subjects:
Online Access: http://www.hasekidergisi.com/archives/archive-detail/article-preview/nflammation-left-ventricular-mass-ndex-and-chronic/36496
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author Egemen Cebeci
Nilay Şengül Samancı
Sami Uzun
Serhat Karadağ
Meltem Gürsu
Tuba Elif Şenel Özler
Mustafa Velet
Savaş Öztürk
author_facet Egemen Cebeci
Nilay Şengül Samancı
Sami Uzun
Serhat Karadağ
Meltem Gürsu
Tuba Elif Şenel Özler
Mustafa Velet
Savaş Öztürk
author_sort Egemen Cebeci
collection DOAJ
description Aim:The aim of this study was to determine the relationship between left ventricular hypertrophy (LVH) and inflammatory markers in patients with type 2 Diabetes Mellitus (T2DM) with diabetic nephropathy at different stages.Methods:Our study was a cross-sectional study involving patients with various stage of T2DM. Patients with LVH were identified by 2D echocardiography. Plasma human tumor necrosis factor alpha (TNF-α), interleukin (IL)-1, IL-6, vaspin, vispatin and midkine were measured.Results:A total of 59 T2DM patients (56% women) with a mean age of 56.1±8.8 years were included in the study. The mean left ventricular mass index was 129±30. LVH was detected in 62.7% of the patients. Patients with an estimated glomerular filtration rate (eGFR) of <60 mL/min/1.73 m2 had a higher incidence of LVH than patients with an eGFR ≥60 mL/min/1.73 m2 (p=0.03). The TNF-α levels in patients with LVH with low eGFR was found to be statistically significantly higher than in patients without LVH (p=0.047). The level of vaspin was statistically significantly higher in patients with LVH (p=0.01).Conclusion:LVH was found to be more frequent in patients with low eGFR, and from inflammatory markers, it was found to be associated only with TNF-α and vaspin.
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spelling doaj.art-fa21dd5de0e74f85b5f2ab14253f0f822023-02-15T16:13:22ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882020-03-0158212913410.4274/haseki.galenos.2020.566213049054Inflammation, Left Ventricular Mass Index and Chronic Renal Failure in Diabetic PatientsEgemen Cebeci0Nilay Şengül Samancı1Sami Uzun2Serhat Karadağ3Meltem Gürsu4Tuba Elif Şenel Özler5Mustafa Velet6Savaş Öztürk7 University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Nephrology, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Internal Medicine, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Nephrology, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Nephrology, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Nephrology, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Nephrology, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Internal Medicine, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Nephrology, İstanbul, Turkey Aim:The aim of this study was to determine the relationship between left ventricular hypertrophy (LVH) and inflammatory markers in patients with type 2 Diabetes Mellitus (T2DM) with diabetic nephropathy at different stages.Methods:Our study was a cross-sectional study involving patients with various stage of T2DM. Patients with LVH were identified by 2D echocardiography. Plasma human tumor necrosis factor alpha (TNF-α), interleukin (IL)-1, IL-6, vaspin, vispatin and midkine were measured.Results:A total of 59 T2DM patients (56% women) with a mean age of 56.1±8.8 years were included in the study. The mean left ventricular mass index was 129±30. LVH was detected in 62.7% of the patients. Patients with an estimated glomerular filtration rate (eGFR) of <60 mL/min/1.73 m2 had a higher incidence of LVH than patients with an eGFR ≥60 mL/min/1.73 m2 (p=0.03). The TNF-α levels in patients with LVH with low eGFR was found to be statistically significantly higher than in patients without LVH (p=0.047). The level of vaspin was statistically significantly higher in patients with LVH (p=0.01).Conclusion:LVH was found to be more frequent in patients with low eGFR, and from inflammatory markers, it was found to be associated only with TNF-α and vaspin. http://www.hasekidergisi.com/archives/archive-detail/article-preview/nflammation-left-ventricular-mass-ndex-and-chronic/36496 left ventricular mass indexinflammatory markersdiabetic nephropathy
spellingShingle Egemen Cebeci
Nilay Şengül Samancı
Sami Uzun
Serhat Karadağ
Meltem Gürsu
Tuba Elif Şenel Özler
Mustafa Velet
Savaş Öztürk
Inflammation, Left Ventricular Mass Index and Chronic Renal Failure in Diabetic Patients
Haseki Tıp Bülteni
left ventricular mass index
inflammatory markers
diabetic nephropathy
title Inflammation, Left Ventricular Mass Index and Chronic Renal Failure in Diabetic Patients
title_full Inflammation, Left Ventricular Mass Index and Chronic Renal Failure in Diabetic Patients
title_fullStr Inflammation, Left Ventricular Mass Index and Chronic Renal Failure in Diabetic Patients
title_full_unstemmed Inflammation, Left Ventricular Mass Index and Chronic Renal Failure in Diabetic Patients
title_short Inflammation, Left Ventricular Mass Index and Chronic Renal Failure in Diabetic Patients
title_sort inflammation left ventricular mass index and chronic renal failure in diabetic patients
topic left ventricular mass index
inflammatory markers
diabetic nephropathy
url http://www.hasekidergisi.com/archives/archive-detail/article-preview/nflammation-left-ventricular-mass-ndex-and-chronic/36496
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AT meltemgursu inflammationleftventricularmassindexandchronicrenalfailureindiabeticpatients
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