Evidence map›Paper›PMID 36104867›Full record

ArticleClinical cardiology2022

Association between serum cystatin C and early impairment of cardiac function and structure in type 2 diabetes patients with normal renal function.

Zhuoshan Huang, Junlin Zhong, Shaozhao Zhang, Zhenyu Xiong, Yiquan Huang, Menghui Liu, Yifen Lin, Xiangbin Zhong, Xiaomin Ye, Xiaodong Zhuang and 1 more

Abstract read
In one paragraph

Article in Clinical cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
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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.

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Zhuoshan HuangDepartment of Cardiovascular Medicine, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.ORCID http://orcid.org/0000-0002-1128-3224
Junlin ZhongDepartment of Ultrasonography, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Shaozhao ZhangCardiology Department, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Zhenyu XiongCardiology Department, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Yiquan HuangCardiology Department, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Menghui LiuCardiology Department, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Yifen LinCardiology Department, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Xiangbin ZhongCardiology Department, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Xiaomin YeCardiology Department, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Xiaodong ZhuangCardiology Department, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Xinxue LiaoCardiology Department, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.

Funding

National Natural Science Foundation Cultivation Project of The Third Affiliated Hospital of Sun Yat-sen University 2020GZRPYQN18
6 · The paper itself

Abstract

backgroundType 2 diabetes mellitus (T2DM) patients may have cardiac remodeling and dysfunction from the early stage of disease. This study aimed to determine the association between cystatin C (CysC) and early cardiac functional or structural impairment in T2DM patients without renal dysfunction.

methodsA total of 1135 T2DM patients without renal dysfunction and known heart diseases were included in our study. Cardiac function and structure were evaluated by echocardiography. Patients were diagnosed as left ventricular hypertrophy (LVH), impaired left ventricular (LV) diastolic function, and categorized into four different LV geometry patterns including normal, concentric remodeling, concentric hypertrophy, and eccentric hypertrophy.

resultsIn multivariate linear regression analyses, CysC was positively associated with interventricular septum, LV mass index, left atrial volume index, E/e' ratio, and negatively associated with Tissue Doppler e', E/A ratio (p < .05). As a continuous variable, increasing CysC levels were associated with prevalence of LVH (OR: 1.47, 95% confidence interval [CI]: 1.22-1.77), impaired LV diastolic function (OR: 1.58, 95% CI: 1.33-1.87), concentric hypertrophy (OR: 1.54, 95% CI: 1.23-1.93) and eccentric hypertrophy (OR: 1.34, 95% CI: 1.00-1.80) according to multivariate logistic regression analyses. While as a categorical variable, the highest CysC quartile (CysC > 1.04 mg/L) was associated with LVH (OR: 2.95, 95% CI: 1.74-5.00), impaired LV diastolic function (OR: 4.09, 95% CI: 2.54-6.60), and concentric hypertrophy (OR: 3.26, 95% CI: 2.05-5.18).

conclusionsCysC was significantly associated with early LV remodeling and cardiac functional impairment in T2DM patients with normal renal function. It could be a reliable and convenient biomarker detecting early impairment of cardiac function and structure in T2DM patients.

Indexed as

Diabetes Mellitus, Type 2HypertensionKidney DiseasesCystatin CHeart VentriclesHumansHypertrophy, Left VentricularKidneyVentricular RemodelingCystatin Ccardiac structurecystatin Cimpaired left ventricular diastolic functionleft ventricular hypertrophytype 2 diabetes

Identifiers

PMID36104867
PMCPMC9748767

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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.