PMID- 29368650 OWN - NLM STAT- MEDLINE DCOM- 20190128 LR - 20190128 IS - 1475-2840 (Electronic) IS - 1475-2840 (Linking) VI - 17 IP - 1 DP - 2018 Jan 24 TI - Association of depression with evolution of heart failure in patients with type 2 diabetes mellitus. PG - 19 LID - 10.1186/s12933-018-0664-5 [doi] LID - 19 AB - BACKGROUND: Depression is a prevalent, independent predictor of mortality in patients with heart failure (HF). Depression is also common in type 2 diabetes mellitus (T2DM), which is itself an important risk factor for HF. However, association of depression with incident HF in T2DM is undefined. The aim of the present study was to evaluate the predictive value of depression in predicting incident HF in a community-based cohort of asymptomatic patients with T2DM. METHODS: We prospectively recruited 274 asymptomatic T2DM patients >/= 65 years (age 71 +/- 4 year, 56% men) with preserved EF and no ischemic heart disease from a community-based population. The Patient Health Questionnaire 9 (PHQ-9) was used to detect depression, and LV dysfunction was sought with a comprehensive echocardiogram, including LV hypertrophy (LVH) and subclinical diastolic function (E/e'). Over a median follow-up of 1.5 years (range 0.5-3), 20 patients were lost to follow-up and 254 individuals were followed for outcomes. RESULTS: At baseline, depression was present in 9.5%, LVH was identified in 26% and reduced E/e' in 11%. Over a median follow-up of 1.5 years, 37 of 245 patients developed new-onset HF and 3 died, giving an event rate of 107/1000 person-years. In a competing-risks regression analysis, depression (adjusted HR 2.54, 95% CI 1.18-5.46; p = 0.017) was associated with incident HF and had incremental predictive power to clinical, biochemical and echocardiographic variables. CONCLUSION: Depression is prevalent in asymptomatic elderly patients with T2DM, and depression independently and incrementally predicts incident HF. FAU - Wang, Ying AU - Wang Y AD - Menzies Institute for Medical Research, Baker Heart and Diabetes Institute, Melbourne, Australia. FAU - Yang, Hong AU - Yang H AD - Menzies Institute for Medical Research, Baker Heart and Diabetes Institute, Melbourne, Australia. FAU - Nolan, Mark AU - Nolan M AD - Menzies Institute for Medical Research, Baker Heart and Diabetes Institute, Melbourne, Australia. FAU - Burgess, John AU - Burgess J AD - Faculty of Health Sciences, Baker Heart and Diabetes Institute, Melbourne, Australia. FAU - Negishi, Kazuaki AU - Negishi K AD - Menzies Institute for Medical Research, Baker Heart and Diabetes Institute, Melbourne, Australia. FAU - Marwick, Thomas H AU - Marwick TH AUID- ORCID: 0000-0001-9065-0899 AD - Menzies Institute for Medical Research, Baker Heart and Diabetes Institute, Melbourne, Australia. Tom.Marwick@bakeridi.edu.au. AD - Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC, 3004, Australia. Tom.Marwick@bakeridi.edu.au. LA - eng GR - Y14G-MART1/Diabetes Australia Research Trust/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180124 PL - England TA - Cardiovasc Diabetol JT - Cardiovascular diabetology JID - 101147637 SB - IM MH - Affect MH - Age Factors MH - Aged MH - Depression/diagnosis/*epidemiology/psychology MH - Diabetes Mellitus, Type 2/diagnosis/*epidemiology MH - Disease Progression MH - Female MH - Heart Failure/diagnostic imaging/*epidemiology/physiopathology MH - Humans MH - Hypertrophy, Left Ventricular/diagnostic imaging/*epidemiology/physiopathology MH - Incidence MH - Male MH - Prevalence MH - Prospective Studies MH - Risk Factors MH - Stroke Volume MH - Time Factors MH - Ventricular Dysfunction, Left/diagnostic imaging/*epidemiology/physiopathology MH - Ventricular Function, Left MH - Victoria/epidemiology PMC - PMC5781289 OTO - NOTNLM OT - Depression OT - Incident heart failure OT - Type 2 diabetes mellitus EDAT- 2018/01/26 06:00 MHDA- 2019/01/29 06:00 PMCR- 2018/01/24 CRDT- 2018/01/26 06:00 PHST- 2017/11/30 00:00 [received] PHST- 2018/01/16 00:00 [accepted] PHST- 2018/01/26 06:00 [entrez] PHST- 2018/01/26 06:00 [pubmed] PHST- 2019/01/29 06:00 [medline] PHST- 2018/01/24 00:00 [pmc-release] AID - 10.1186/s12933-018-0664-5 [pii] AID - 664 [pii] AID - 10.1186/s12933-018-0664-5 [doi] PST - epublish SO - Cardiovasc Diabetol. 2018 Jan 24;17(1):19. doi: 10.1186/s12933-018-0664-5.