Left ventricular mechanical dyssynchrony assessment in long-standing type II diabetes mellitus patients with normal gated SPECT-MPI
Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information about the influence of diabetes mellitus on phase analysis. The present work was to evaluate the LVMD in longstanding type II diabetes melli...
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| Published in | Journal of nuclear cardiology Vol. 26; no. 5; pp. 1650 - 1658 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Cham
Elsevier Inc
01.10.2019
Springer International Publishing Springer Nature B.V |
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| Online Access | Get full text |
| ISSN | 1071-3581 1532-6551 1532-6551 |
| DOI | 10.1007/s12350-018-1208-9 |
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| Abstract | Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information about the influence of diabetes mellitus on phase analysis. The present work was to evaluate the LVMD in longstanding type II diabetes mellitus (DM) patients with normal gated SPECT-MPI.
Retrospective analysis of 146 (86 type II diabetics for > 5 years’ duration and 60 nondiabetics) consecutive patients with normal gated SPECT-MPI and adequate LVEF was done. Sixty age- and sex-matched nondiabetic served as control. LVMD was determined from the cutoff values (> mean + 2 SD) observed for phase standard deviation (PSD) and phase bandwidth (PBW) from the control subjects. Multivariate logistic regression analysis was applied to assess the correlation between various confounding factors.
LVMD was detected in 24 (28%) diabetic patients with the pre-defined cut-off values for PSD (> 10.8) and PBW (> 35.6) derived from the controls. Hyperlipidemia, overweight/obesity, duration of DM and its long-term complications were independently associated with LVMD, with long-term complications being the highest risk factor (OR 28.00; P < .001).
The evolution time of the patients with type II diabetes mellitus affects the left ventricular mechanical synchrony. |
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| AbstractList | BackgroundAssessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information about the influence of diabetes mellitus on phase analysis. The present work was to evaluate the LVMD in longstanding type II diabetes mellitus (DM) patients with normal gated SPECT-MPI.MethodsRetrospective analysis of 146 (86 type II diabetics for > 5 years’ duration and 60 nondiabetics) consecutive patients with normal gated SPECT-MPI and adequate LVEF was done. Sixty age- and sex-matched nondiabetic served as control. LVMD was determined from the cutoff values (> mean + 2 SD) observed for phase standard deviation (PSD) and phase bandwidth (PBW) from the control subjects. Multivariate logistic regression analysis was applied to assess the correlation between various confounding factors.ResultsLVMD was detected in 24 (28%) diabetic patients with the pre-defined cut-off values for PSD (> 10.8) and PBW (> 35.6) derived from the controls. Hyperlipidemia, overweight/obesity, duration of DM and its long-term complications were independently associated with LVMD, with long-term complications being the highest risk factor (OR 28.00; P < .001).ConclusionThe evolution time of the patients with type II diabetes mellitus affects the left ventricular mechanical synchrony. Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information about the influence of diabetes mellitus on phase analysis. The present work was to evaluate the LVMD in longstanding type II diabetes mellitus (DM) patients with normal gated SPECT-MPI.BACKGROUNDAssessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information about the influence of diabetes mellitus on phase analysis. The present work was to evaluate the LVMD in longstanding type II diabetes mellitus (DM) patients with normal gated SPECT-MPI.Retrospective analysis of 146 (86 type II diabetics for > 5 years' duration and 60 nondiabetics) consecutive patients with normal gated SPECT-MPI and adequate LVEF was done. Sixty age- and sex-matched nondiabetic served as control. LVMD was determined from the cutoff values (> mean + 2 SD) observed for phase standard deviation (PSD) and phase bandwidth (PBW) from the control subjects. Multivariate logistic regression analysis was applied to assess the correlation between various confounding factors.METHODSRetrospective analysis of 146 (86 type II diabetics for > 5 years' duration and 60 nondiabetics) consecutive patients with normal gated SPECT-MPI and adequate LVEF was done. Sixty age- and sex-matched nondiabetic served as control. LVMD was determined from the cutoff values (> mean + 2 SD) observed for phase standard deviation (PSD) and phase bandwidth (PBW) from the control subjects. Multivariate logistic regression analysis was applied to assess the correlation between various confounding factors.LVMD was detected in 24 (28%) diabetic patients with the pre-defined cut-off values for PSD (> 10.8) and PBW (> 35.6) derived from the controls. Hyperlipidemia, overweight/obesity, duration of DM and its long-term complications were independently associated with LVMD, with long-term complications being the highest risk factor (OR 28.00; P < .001).RESULTSLVMD was detected in 24 (28%) diabetic patients with the pre-defined cut-off values for PSD (> 10.8) and PBW (> 35.6) derived from the controls. Hyperlipidemia, overweight/obesity, duration of DM and its long-term complications were independently associated with LVMD, with long-term complications being the highest risk factor (OR 28.00; P < .001).The evolution time of the patients with type II diabetes mellitus affects the left ventricular mechanical synchrony.CONCLUSIONThe evolution time of the patients with type II diabetes mellitus affects the left ventricular mechanical synchrony. Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information about the influence of diabetes mellitus on phase analysis. The present work was to evaluate the LVMD in longstanding type II diabetes mellitus (DM) patients with normal gated SPECT-MPI. Retrospective analysis of 146 (86 type II diabetics for > 5 years' duration and 60 nondiabetics) consecutive patients with normal gated SPECT-MPI and adequate LVEF was done. Sixty age- and sex-matched nondiabetic served as control. LVMD was determined from the cutoff values (> mean + 2 SD) observed for phase standard deviation (PSD) and phase bandwidth (PBW) from the control subjects. Multivariate logistic regression analysis was applied to assess the correlation between various confounding factors. LVMD was detected in 24 (28%) diabetic patients with the pre-defined cut-off values for PSD (> 10.8) and PBW (> 35.6) derived from the controls. Hyperlipidemia, overweight/obesity, duration of DM and its long-term complications were independently associated with LVMD, with long-term complications being the highest risk factor (OR 28.00; P < .001). The evolution time of the patients with type II diabetes mellitus affects the left ventricular mechanical synchrony. Background: Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information about the influence of diabetes mellitus on phase analysis. The present work was to evaluate the LVMD in longstanding type II diabetes mellitus (DM) patients with normal gated SPECT-MPI. Methods: Retrospective analysis of 146 (86 type II diabetics for > 5 years’ duration and 60 nondiabetics) consecutive patients with normal gated SPECT-MPI and adequate LVEF was done. Sixty age- and sex-matched nondiabetic served as control. LVMD was determined from the cutoff values (> mean + 2 SD) observed for phase standard deviation (PSD) and phase bandwidth (PBW) from the control subjects. Multivariate logistic regression analysis was applied to assess the correlation between various confounding factors. Results: LVMD was detected in 24 (28%) diabetic patients with the pre-defined cut-off values for PSD (> 10.8) and PBW (> 35.6) derived from the controls. Hyperlipidemia, overweight/obesity, duration of DM and its long-term complications were independently associated with LVMD, with long-term complications being the highest risk factor (OR 28.00; P < .001). Conclusion: The evolution time of the patients with type II diabetes mellitus affects the left ventricular mechanical synchrony. Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information about the influence of diabetes mellitus on phase analysis. The present work was to evaluate the LVMD in longstanding type II diabetes mellitus (DM) patients with normal gated SPECT-MPI. Retrospective analysis of 146 (86 type II diabetics for > 5 years’ duration and 60 nondiabetics) consecutive patients with normal gated SPECT-MPI and adequate LVEF was done. Sixty age- and sex-matched nondiabetic served as control. LVMD was determined from the cutoff values (> mean + 2 SD) observed for phase standard deviation (PSD) and phase bandwidth (PBW) from the control subjects. Multivariate logistic regression analysis was applied to assess the correlation between various confounding factors. LVMD was detected in 24 (28%) diabetic patients with the pre-defined cut-off values for PSD (> 10.8) and PBW (> 35.6) derived from the controls. Hyperlipidemia, overweight/obesity, duration of DM and its long-term complications were independently associated with LVMD, with long-term complications being the highest risk factor (OR 28.00; P < .001). The evolution time of the patients with type II diabetes mellitus affects the left ventricular mechanical synchrony. Background Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information about the influence of diabetes mellitus on phase analysis. The present work was to evaluate the LVMD in longstanding type II diabetes mellitus (DM) patients with normal gated SPECT-MPI. Methods Retrospective analysis of 146 (86 type II diabetics for > 5 years’ duration and 60 nondiabetics) consecutive patients with normal gated SPECT-MPI and adequate LVEF was done. Sixty age- and sex-matched nondiabetic served as control. LVMD was determined from the cutoff values (> mean + 2 SD) observed for phase standard deviation (PSD) and phase bandwidth (PBW) from the control subjects. Multivariate logistic regression analysis was applied to assess the correlation between various confounding factors. Results LVMD was detected in 24 (28%) diabetic patients with the pre-defined cut-off values for PSD (> 10.8) and PBW (> 35.6) derived from the controls. Hyperlipidemia, overweight/obesity, duration of DM and its long-term complications were independently associated with LVMD, with long-term complications being the highest risk factor (OR 28.00; P < .001). Conclusion The evolution time of the patients with type II diabetes mellitus affects the left ventricular mechanical synchrony. |
| Author | Sood, Ashwani Mittal, Bhagwant Malik, Dharmender Parmar, Madan Kaur, Gurvinder Bahl, Ajay |
| Author_xml | – sequence: 1 givenname: Dharmender surname: Malik fullname: Malik, Dharmender organization: Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India – sequence: 2 givenname: Bhagwant surname: Mittal fullname: Mittal, Bhagwant organization: Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India – sequence: 3 givenname: Ashwani surname: Sood fullname: Sood, Ashwani email: sood99@yahoo.com organization: Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India – sequence: 4 givenname: Madan surname: Parmar fullname: Parmar, Madan organization: Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India – sequence: 5 givenname: Gurvinder surname: Kaur fullname: Kaur, Gurvinder organization: Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India – sequence: 6 givenname: Ajay surname: Bahl fullname: Bahl, Ajay organization: Department of Cardiology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29392627$$D View this record in MEDLINE/PubMed https://www.osti.gov/biblio/22961962$$D View this record in Osti.gov |
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| CitedBy_id | crossref_primary_10_1007_s10554_021_02400_2 crossref_primary_10_1007_s12149_023_01897_y crossref_primary_10_1007_s12350_023_03215_5 crossref_primary_10_1007_s10554_021_02358_1 crossref_primary_10_1007_s10554_019_01762_y crossref_primary_10_1097_MNM_0000000000001721 |
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| Copyright | 2019 American Society of Nuclear Cardiology. Published by ELSEVIER INC. All rights reserved. American Society of Nuclear Cardiology 2018 Journal of Nuclear Cardiology is a copyright of Springer, (2018). All Rights Reserved. Copyright Springer Nature B.V. 2019 |
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| Keywords | PSD left ventricular mechanical dyssynchrony LVMD phase bandwidth PBW CRT Diabetes mellitus phase analysis LVEF DM DCM SPECT-MPI TDI LVD phase standard deviation |
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| Snippet | Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little information... Background Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little... BackgroundAssessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little... Background: Assessment of left ventricular mechanical dyssynchrony (LVMD) using phase analysis of gated SPECT-MPI is well established. However, there is little... |
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| SubjectTerms | Aged Cardiac-Gated Single-Photon Emission Computer-Assisted Tomography Cardiology Case-Control Studies Diabetes DIABETES MELLITUS Diabetes Mellitus, Type 2 - diagnostic imaging Female HAZARDS Heart Ventricles - physiopathology Humans Image Processing, Computer-Assisted Imaging left ventricular mechanical dyssynchrony Male Medicine Medicine & Public Health Middle Aged MULTIVARIATE ANALYSIS Myocardial Perfusion Imaging Nuclear Medicine Original Article PATIENTS phase analysis phase bandwidth phase standard deviation PHASE STUDIES Radiology RADIOLOGY AND NUCLEAR MEDICINE Regression Analysis Retrospective Studies Risk Factors SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY SPECT-MPI Treatment Outcome Ventricular Dysfunction, Left - diagnostic imaging Ventricular Function, Left |
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| Title | Left ventricular mechanical dyssynchrony assessment in long-standing type II diabetes mellitus patients with normal gated SPECT-MPI |
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