scholarly journals Epicardial adipose tissue volume predicts long term major adverse cardiovascular events in patients with Type 2 diabetes

Author(s):  
Begum Uygur ◽  
◽  
Omer Celik ◽  
Ali Riza Demir ◽  
Muammer Karakayali ◽  
...  
2014 ◽  
Vol 113 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Weena J.Y. Chen ◽  
Ibrahim Danad ◽  
Pieter G. Raijmakers ◽  
Rick Halbmeijer ◽  
Hendrik J. Harms ◽  
...  

2020 ◽  
Vol 22 (7) ◽  
pp. 1094-1101 ◽  
Author(s):  
Lars Johansson ◽  
Paul D. Hockings ◽  
Eva Johnsson ◽  
Nalina Dronamraju ◽  
Jill Maaske ◽  
...  

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Nitesh Nerlekar ◽  
Udit Thakur ◽  
Andrew Lin ◽  
Ji Quan Samuel Koh ◽  
Elizabeth Potter ◽  
...  

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1175-P
Author(s):  
JOHN P. WILDING ◽  
PAUL HOCKINGS ◽  
EVA K. JOHNSSON ◽  
JILL MAASKE ◽  
RICARDO GARCIA-SANCHEZ ◽  
...  

Author(s):  
Jonas Ghouse ◽  
Paul Blanche ◽  
Morten W Skov ◽  
Bent Lind ◽  
Allan Vaag ◽  
...  

Abstract Aims To determine the risk of major adverse cardiovascular events (MACE) and death, associated with an early large and rapid decline in glycated haemoglobin (HbA1C) following first time initiation of an oral antidiabetic drug (OAD). Methods and results We included 10 518 primary care patients with type 2 diabetes, who initiated an OAD for the first time. For each individual, we measured a decline in HbA1C, as the difference between the pre-treatment HbA1C (within 3 months before OAD initiation) and the post-treatment HbA1C (within 1.5–4.5 months after OAD initiation), divided by the time between the two measurements. The decline was reported in mmol/mol change per 3 months in HbA1C and categorized by the median decline into levels of steep [≥9 mmol/mol (≥0.8%)] and flat decline [<9 mmol/mol per 3 months (<0.8%)]. Pre-treatment HbA1C was categorized by the median, into levels of low (48–62 mmol/mol) and high (>62 mmol/mol). Multiple Cox regression was used to study the effect of decline (steep vs. flat) on the outcome hazard rates separately for patients with low and high pre-treatment HbA1C. Analyses were adjusted for age, sex, traditional cardiovascular risk factors, severe comorbidities, and concomitant medication treatment. During a median follow-up time of 7.7 years, 1625 developed MACE and 2323 died. We found that a steep decline vs. a flat decline was significantly associated with a decreased hazard for MACE, both in individuals with high [hazard ratio (HR) 0.81; 95% confidence interval (CI) 0.69–0.94; P = 0.005] and low pre-treatment HbA1C (HR 0.79; 95% CI 0.66–0.96; P = 0.015). The hazard of MACE was more pronounced on the short-term vs. long-term in individuals with high pre-treatment HbA1C. We found no significant association between combinations of pre-treatment HbA1C and decline categories and hazard of all-cause mortality. However, a combination of a low pre-treatment HbA1C and steep decline was associated with increased 1-year mortality (HR 1.52; 95% CI 1.00–2.29; P = 0.048) and hypoglycaemia (HR 1.82; 95% CI 1.11–2.98; P = 0.017). Conclusion A combination of a high pre-treatment HbA1C and a steep decline in HbA1C was associated with a decreased short-term risk of MACE. A low pre-treatment HbA1C and a steep decline was associated with a long-term reduced risk of MACE, but a short-term increased risk of death and hypoglycaemia.


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