Relationship between HgbA1c and Myocardial Blood Flow Reserve in Patients with Type 2 Diabetes Mellitus: Noninvasive Assessment Using Real-Time Myocardial Perfusion Echocardiography
Joint Authors
Huang, Runqing
Nhola, Lara F.
Abdelmoneim, Sahar S.
Mulvagh, Sharon L.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-02
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
To study the relationship between glycosylated hemoglobin (HgbA1c) and myocardial perfusion in type 2 diabetes mellitus (T2DM) patients, we prospectively enrolled 24 patients with known or suspected coronary artery disease (CAD) who underwent adenosine stress by real-time myocardial perfusion echocardiography (RTMPE).
HgbA1c was measured at time of RTMPE.
Microbubble velocity (β min−1), myocardial blood flow (MBF, mL/min/g), and myocardial blood flow reserve (MBFR) were quantified.
Quantitative MCE analysis was feasible in all patients (272/384 segments, 71%).
Those with HgbA1c > 7.1% had significantly lower β reserve and MBFR than those with HgbA1c ≤ 7.1% ( P < 0.05 ) .
In patients with suspected CAD, there was a significant inverse correlation between MBFR and HgbA1c ( r = - 0.279 , P = 0.01 ); however, in those with known CAD, this relationship was not significant ( r = - 0.117 , P = 0.129 ).
Using a MBFR cutoff value > 2 as normal, HgbA1c > 7.1% significantly increased the risk for abnormal MBFR, (adjusted odds ratio: 1.92, 95% CI: 1.12–3.35, P = 0.02 ).
Optimal glycemic control is associated with preservation of MBFR as determined by RTMPE, in T2DM patients at risk for CAD.
American Psychological Association (APA)
Huang, Runqing& Abdelmoneim, Sahar S.& Nhola, Lara F.& Mulvagh, Sharon L.. 2014. Relationship between HgbA1c and Myocardial Blood Flow Reserve in Patients with Type 2 Diabetes Mellitus: Noninvasive Assessment Using Real-Time Myocardial Perfusion Echocardiography. Journal of Diabetes Research،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1040275
Modern Language Association (MLA)
Huang, Runqing…[et al.]. Relationship between HgbA1c and Myocardial Blood Flow Reserve in Patients with Type 2 Diabetes Mellitus: Noninvasive Assessment Using Real-Time Myocardial Perfusion Echocardiography. Journal of Diabetes Research No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-1040275
American Medical Association (AMA)
Huang, Runqing& Abdelmoneim, Sahar S.& Nhola, Lara F.& Mulvagh, Sharon L.. Relationship between HgbA1c and Myocardial Blood Flow Reserve in Patients with Type 2 Diabetes Mellitus: Noninvasive Assessment Using Real-Time Myocardial Perfusion Echocardiography. Journal of Diabetes Research. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-1040275
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1040275