Evidence map›Paper›PMID 30877708›Full record

ArticleDiabetes & metabolism journal2020

Association between Non-Alcoholic Steatohepatitis and Left Ventricular Diastolic Dysfunction in Type 2 Diabetes Mellitus.

Hokyou Lee, Gyuri Kim, Young Ju Choi, Byung Wook Huh, Byung Wan Lee, Eun Seok Kang, Bong Soo Cha, Eun Jig Lee, Yong Ho Lee, Kap Bum Huh

Open access · goldAbstract read
In one paragraph

Article in Diabetes & metabolism journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Hokyou Lee *Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Gyuri Kim *Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Young Ju ChoiHuh's Diabetes Center and the 21st Century Diabetes and Vascular Research Institute, Seoul, Korea.
Byung Wook HuhHuh's Diabetes Center and the 21st Century Diabetes and Vascular Research Institute, Seoul, Korea.
Byung Wan LeeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Eun Seok KangDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Bong Soo ChaDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Eun Jig LeeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Yong Ho LeeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-6219-4942
Kap Bum HuhHuh's Diabetes Center and the 21st Century Diabetes and Vascular Research Institute, Seoul, Korea.
Yonsei University · KRSamsung Medical Center · KR

Funding

MHW HI17C0913NRF NRF-2016R1A5A1010764
6 · The paper itself

Abstract

backgroundImpaired diastolic heart function has been observed in persons with non-alcoholic fatty liver disease (NAFLD) and/or with type 2 diabetes mellitus (T2DM). However, it is unclear whether NAFLD fibrotic progression, i.e., non-alcoholic steatohepatitis, poses an independent risk for diastolic dysfunction in T2DM. We investigated the association between liver fibrosis and left ventricular (LV) diastolic dysfunction in T2DM.

methodsWe analyzed 606 patients with T2DM, aged ≥50 years, who had undergone liver ultrasonography and pulsed-wave Doppler echocardiography. Insulin sensitivity was measured by short insulin tolerance test. Presence of NAFLD and/or advanced liver fibrosis was determined by abdominal ultrasonography and NAFLD fibrosis score (NFS). LV diastolic dysfunction was defined according to transmitral peak early to late ventricular filling (E/A) ratio and deceleration time, using echocardiography.

resultsLV diastolic dysfunction was significantly more prevalent in the NAFLD versus non-NAFLD group (59.7% vs. 49.0%,

conclusionsLiver fibrosis was associated with LV diastolic dysfunction in patients with T2DM and may be an independent risk factor for diastolic dysfunction, especially in patients without systemic insulin resistance.

Indexed as

AgedCardiometabolic Risk FactorsCase-Control StudiesCross-Sectional StudiesDiabetes Mellitus, Type 2DiastoleEchocardiographyEchocardiography, Doppler, PulsedFemaleHeart FailureHumansInsulin ResistanceLiverLiver CirrhosisMaleMiddle AgedDiabetes mellitus, type 2Diabetic cardiomyopathiesHeart failureInsulin resistanceNon-alcoholic fatty liver disease

Identifiers

PMID30877708
PMCPMC7188976
OpenAlexW2920423013

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.