Effects of an Impaired Fasting Glucose on the Left Atrial Strain Evaluated by Speckle Tracking Echocardiography

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dc.authoridÖzmen, Emre/0000-0003-0673-7938
dc.authoridOZPAMUK KARADENIZ, FATMA/0000-0001-5839-9104
dc.contributor.authorBingol, Gulsum
dc.contributor.authorDemir, Fulya Avci
dc.contributor.authorOzmen, Emre
dc.contributor.authorUnlu, Serkan
dc.contributor.authorOzden, Ozge
dc.contributor.authorTokdil, Kardelen Ohtaroglu
dc.date.accessioned2024-01-22T12:22:26Z
dc.date.available2024-01-22T12:22:26Z
dc.date.issued2023
dc.departmentKMÜen_US
dc.description.abstractBackground and Objectives: Similar to diabetes, the presence of left ventricular (LV) diastolic function (DD) has been reported in various studies which were conducted with people with a diagnosis of an impaired fasting blood glucose (FBG). This study aimed to examine the effects of the fasting blood glucose (FBG) levels on the left atrial strain (LAS) estimated by two-dimensional echocardiography speckle tracking analyses in patients without known diabetes. Material and Methods: The study included 148 participants (74 female and 74 male) without a history of diabetes mellitus or chronic disease. The patients were divided into two groups as follows: individuals with an FBG < 100 mg/dL and those with an FBG between 100 and 125 mg/dL after at least 8 h of overnight fasting. According to these FBG levels, speckle tracking echocardiography (STE) measures were compared. Results: There was a significant decrease in the LA reservoir (52.3 +/- 15 vs. 44.5 +/- 10.7; p = 0.001) and conduit strain (36.9 +/- 11.7 vs. 28.4 +/- 9.7; p = 0.001) in the impaired FBG group. When the STE findings of both ventricles were compared, no significant difference was observed between the groups in right and left ventricular strain imaging. Conclusions: In the earliest stage of LVDD, changes in atrial functional parameters become particularly evident. Echocardiographic analyses of these parameters can help to diagnose and determine the degree of LVDD while the morphological parameters are still normal. The addition of LAS imaging to routine transthoracic echocardiography (TTE) studies in patients with an impaired FBG but without a DM diagnosis may be helpful in demonstrating subclinical LVDD or identifying patients at risk for LVDD in this patient group.en_US
dc.identifier.doi10.3390/medicina59111982
dc.identifier.issn1010-660X
dc.identifier.issn1648-9144
dc.identifier.issue11en_US
dc.identifier.pmid38004031en_US
dc.identifier.pmid38004031
dc.identifier.scopus2-s2.0-85177745279
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.3390/medicina59111982
dc.identifier.urihttps://hdl.handle.net/11492/7983
dc.identifier.volume59en_US
dc.identifier.wosWOS:001123517500001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Sceince
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMdpien_US
dc.relation.ispartofMedicina-Lithuaniaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzkmusnmz
dc.subjectstrain echocardiographyen_US
dc.subjectdiabetes mellitusen_US
dc.subjectfasting blood glucoseen_US
dc.titleEffects of an Impaired Fasting Glucose on the Left Atrial Strain Evaluated by Speckle Tracking Echocardiographyen_US
dc.typeArticle

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