Increased arterial stiffness elevates the risk of heart failure in diabetic patients
Previous studies have shown that arterial stiffness (AS) was a risk factor for heart failure (HF) in nondiabetic patients. We aimed to analyze this impact in a community-based diabetic population. Our study excluded those who had HF before brachial-ankle pulse wave velocity (baPWV) measurement and i...
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| Published in | International journal of cardiology Vol. 385; pp. 26 - 33 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
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Elsevier B.V
15.08.2023
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| Abstract | Previous studies have shown that arterial stiffness (AS) was a risk factor for heart failure (HF) in nondiabetic patients. We aimed to analyze this impact in a community-based diabetic population.
Our study excluded those who had HF before brachial-ankle pulse wave velocity (baPWV) measurement and included 9041 participants finally. Subjects were divided into the normal (<14 m/s), intermediate (14–18 m/s), and elevated baPWV groups (>18 m/s) based on baPWV values. Multivariate Cox proportional hazard model was used to analyze the effect of AS on HF risk.
During the median follow-up of 4.19 years, 213 patients had HF. The results of Cox model showed that HF risk in the elevated baPWV group was 2.25 times higher than that in the normal baPWV group (95% confidence interval [CI]: 1.24–4.11). HF risk increased by 18% (95% CI:1.03–1.35) for every 1 additional standard deviation(SD)of baPWV. Restricted cubic spline results showed statistically significant overall and non-linear associations between AS and HF risk (P < 0.05). The subgroup analysis and sensitivity analysis were consistent with that of total population.
AS is an independent risk factor for developing HF in the diabetic population, and AS exhibits a dose-response relationship with HF risk.
•AS was an independent risk factor for developing HF in the diabetic population.•AS exhibits a dose-response relationship with HF risk. |
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| AbstractList | Previous studies have shown that arterial stiffness (AS) was a risk factor for heart failure (HF) in nondiabetic patients. We aimed to analyze this impact in a community-based diabetic population.BACKGROUNDPrevious studies have shown that arterial stiffness (AS) was a risk factor for heart failure (HF) in nondiabetic patients. We aimed to analyze this impact in a community-based diabetic population.Our study excluded those who had HF before brachial-ankle pulse wave velocity (baPWV) measurement and included 9041 participants finally. Subjects were divided into the normal (<14 m/s), intermediate (14-18 m/s), and elevated baPWV groups (>18 m/s) based on baPWV values. Multivariate Cox proportional hazard model was used to analyze the effect of AS on HF risk.METHODSOur study excluded those who had HF before brachial-ankle pulse wave velocity (baPWV) measurement and included 9041 participants finally. Subjects were divided into the normal (<14 m/s), intermediate (14-18 m/s), and elevated baPWV groups (>18 m/s) based on baPWV values. Multivariate Cox proportional hazard model was used to analyze the effect of AS on HF risk.During the median follow-up of 4.19 years, 213 patients had HF. The results of Cox model showed that HF risk in the elevated baPWV group was 2.25 times higher than that in the normal baPWV group (95% confidence interval [CI]: 1.24-4.11). HF risk increased by 18% (95% CI:1.03-1.35) for every 1 additional standard deviation(SD)of baPWV. Restricted cubic spline results showed statistically significant overall and non-linear associations between AS and HF risk (P < 0.05). The subgroup analysis and sensitivity analysis were consistent with that of total population.RESULTSDuring the median follow-up of 4.19 years, 213 patients had HF. The results of Cox model showed that HF risk in the elevated baPWV group was 2.25 times higher than that in the normal baPWV group (95% confidence interval [CI]: 1.24-4.11). HF risk increased by 18% (95% CI:1.03-1.35) for every 1 additional standard deviation(SD)of baPWV. Restricted cubic spline results showed statistically significant overall and non-linear associations between AS and HF risk (P < 0.05). The subgroup analysis and sensitivity analysis were consistent with that of total population.AS is an independent risk factor for developing HF in the diabetic population, and AS exhibits a dose-response relationship with HF risk.CONCLUSIONSAS is an independent risk factor for developing HF in the diabetic population, and AS exhibits a dose-response relationship with HF risk. Previous studies have shown that arterial stiffness (AS) was a risk factor for heart failure (HF) in nondiabetic patients. We aimed to analyze this impact in a community-based diabetic population. Our study excluded those who had HF before brachial-ankle pulse wave velocity (baPWV) measurement and included 9041 participants finally. Subjects were divided into the normal (<14 m/s), intermediate (14-18 m/s), and elevated baPWV groups (>18 m/s) based on baPWV values. Multivariate Cox proportional hazard model was used to analyze the effect of AS on HF risk. During the median follow-up of 4.19 years, 213 patients had HF. The results of Cox model showed that HF risk in the elevated baPWV group was 2.25 times higher than that in the normal baPWV group (95% confidence interval [CI]: 1.24-4.11). HF risk increased by 18% (95% CI:1.03-1.35) for every 1 additional standard deviation(SD)of baPWV. Restricted cubic spline results showed statistically significant overall and non-linear associations between AS and HF risk (P < 0.05). The subgroup analysis and sensitivity analysis were consistent with that of total population. AS is an independent risk factor for developing HF in the diabetic population, and AS exhibits a dose-response relationship with HF risk. Previous studies have shown that arterial stiffness (AS) was a risk factor for heart failure (HF) in nondiabetic patients. We aimed to analyze this impact in a community-based diabetic population. Our study excluded those who had HF before brachial-ankle pulse wave velocity (baPWV) measurement and included 9041 participants finally. Subjects were divided into the normal (<14 m/s), intermediate (14–18 m/s), and elevated baPWV groups (>18 m/s) based on baPWV values. Multivariate Cox proportional hazard model was used to analyze the effect of AS on HF risk. During the median follow-up of 4.19 years, 213 patients had HF. The results of Cox model showed that HF risk in the elevated baPWV group was 2.25 times higher than that in the normal baPWV group (95% confidence interval [CI]: 1.24–4.11). HF risk increased by 18% (95% CI:1.03–1.35) for every 1 additional standard deviation(SD)of baPWV. Restricted cubic spline results showed statistically significant overall and non-linear associations between AS and HF risk (P < 0.05). The subgroup analysis and sensitivity analysis were consistent with that of total population. AS is an independent risk factor for developing HF in the diabetic population, and AS exhibits a dose-response relationship with HF risk. •AS was an independent risk factor for developing HF in the diabetic population.•AS exhibits a dose-response relationship with HF risk. |
| Author | Zhuang, Jinqiang Wang, Guodong Wu, Lili Zhang, Xuelian Chen, Shuohua Wu, Shouling Hong, Jiang Wu, Meimei |
| Author_xml | – sequence: 1 givenname: Lili surname: Wu fullname: Wu, Lili organization: Division of Cardiovascular Diseases, Department of Emergency and Critical Care Medicine, Shanghai General Hospital of Nanjing Medical University, Shanghai, China – sequence: 2 givenname: Meimei surname: Wu fullname: Wu, Meimei organization: Department of Emergency and Critical Care Medicine, Shanghai Songjiang District Central Hospital, Shanghai, China – sequence: 3 givenname: Xuelian surname: Zhang fullname: Zhang, Xuelian organization: Department of Cardiology, Shanghai Songjiang District Central Hospital, Shanghai, China – sequence: 4 givenname: Shuohua surname: Chen fullname: Chen, Shuohua organization: Department of Cardiology, Kailuan Hospital, North China University of Science and Technology, Tangshan, China – sequence: 5 givenname: Guodong surname: Wang fullname: Wang, Guodong organization: Department of Cardiology, Kailuan Hospital, North China University of Science and Technology, Tangshan, China – sequence: 6 givenname: Shouling surname: Wu fullname: Wu, Shouling email: drwusl@163.com organization: Department of Cardiology, Kailuan Hospital, North China University of Science and Technology, Tangshan, China – sequence: 7 givenname: Jinqiang surname: Zhuang fullname: Zhuang, Jinqiang email: zjq7642807@163.com organization: Emergency Intensive Care Unit(EICU), The Affiliated Hospital of Yangzhou University, Yangzhou, China – sequence: 8 givenname: Jiang surname: Hong fullname: Hong, Jiang email: jhong.pku@163.com organization: Division of Cardiovascular Diseases, Department of Emergency and Critical Care Medicine, Shanghai General Hospital of Nanjing Medical University, Shanghai, China |
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| Keywords | Heart failure SBP eGFR baPWV Arterial stiffness AF LDL-C Diabetes mellitus CI FBG HR TC HDL-C SD AS DBP TG hsCRP MI Prospective study CKD HF BMI |
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| Snippet | Previous studies have shown that arterial stiffness (AS) was a risk factor for heart failure (HF) in nondiabetic patients. We aimed to analyze this impact in a... |
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| SubjectTerms | Ankle Brachial Index Arterial stiffness Diabetes Mellitus Heart Failure Humans Prospective study Pulse Wave Analysis Risk Factors Vascular Stiffness - physiology |
| Title | Increased arterial stiffness elevates the risk of heart failure in diabetic patients |
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