Evidence map›Paper›PMID 40927303›Full record

ArticleClinical interventions in aging2025

Risk Factors of Subclinical Left Ventricular Systolic Dysfunction in Older Adults with Type 2 Diabetes and Preserved LVEF.

Xiaoxu Yang, Yinjia Zhang, Yao Liu, Qing Lv, Zhibin Ye, Cuiping Jiang, Xiaoli Zhang

Abstract read
In one paragraph

Article in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

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

7 authors.

Xiaoxu Yang *Department of Nephrology, Huadong Hospital, Fudan University, Shanghai, People's Republic of China.ORCID 0009-0001-2012-580X
Yinjia Zhang *Department of Ultrasound, Huadong Hospital, Fudan University, Shanghai, 20040, People's Republic of China.
Yao LiuDepartment of Nephrology, Huadong Hospital, Fudan University, Shanghai, People's Republic of China.ORCID 0009-0007-5702-1901
Qing LvDepartment of Nephrology, Huadong Hospital, Fudan University, Shanghai, People's Republic of China.
Zhibin YeDepartment of Nephrology, Huadong Hospital, Fudan University, Shanghai, People's Republic of China.
Cuiping JiangDepartment of Endocrinology, Huadong Hospital, Fudan University, Shanghai, People's Republic of China.
Xiaoli ZhangDepartment of Nephrology, Huadong Hospital, Fudan University, Shanghai, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study evaluates cardiac function in older adults with T2DM and preserved LVEF using two-dimensional speckle-tracking echocardiography to explore the risk factors associated with subclinical left ventricular systolic dysfunction (GLS <18%) in this population. Methods: All patients (n = 87, aged 60 years and above) and controls (n = 20) underwent clinical assessment and echocardiography, including GLS assessment. Results: Univariate analysis identified gender (OR 3.368, p=0.008), proteinuria (OR 5.918, p=0.003), eGFR (OR 0.971, p=0.003), HDL (OR 0.201, p=0.013), triglycerides (OR 3.379, p=0.005), and HOMA-IR (OR 1.173, p=0.049) as potential risk factors for subclinical LV systolic insufficiency in older T2DM patients with preserved LVEF. Following adjustment for age and clinical covariates, multivariate logistic regression confirmed proteinuria (OR 4.063, p=0.030), eGFR (OR 0.974, p=0.049), hypertriglyceridemia (OR 3.069, p=0.050), and HOMA-IR (OR 1.249, p=0.026) as independent predictors. Conclusion: Despite normal global LVEF, proteinuria, hypertriglyceridemia, reduced eGFR, and insulin resistance are closely associated with the development of subclinical left ventricular systolic insufficiency in asymptomatic older adults with T2DM. Trial Registration: This study adheres to the principles outlined in the Declaration of Helsinki and received approval from the Ethics Review Committee of Huadong Hospital, affiliated with Fudan University (Approval No. 2022K150). Written informed consent was obtained from all participants. The registration number of this study at the Chinese Clinical Trial Center is ChiCTR2200062070.

Indexed as

Diabetes Mellitus, Type 2Stroke VolumeVentricular Dysfunction, LeftAgedAged, 80 and overEchocardiographyFemaleGlomerular Filtration RateHumansHypertriglyceridemiaInsulin ResistanceMaleMiddle AgedProteinuriaRisk Factorsdiabetic kidney diseaseolder adultssubclinical left ventricular systolic insufficiencytype 2 diabetes

Identifiers

PMID40927303
PMCPMC12415296

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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.