PMID- 31238058 OWN - NLM STAT- MEDLINE DCOM- 20191114 LR - 20191114 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 154 DP - 2019 Aug TI - Predictors of cardiomyopathy in patients with type-2 diabetes mellitus with and without cardiovascular complications: A cross-sectional study. PG - 90-100 LID - S0168-8227(19)30626-6 [pii] LID - 10.1016/j.diabres.2019.06.012 [doi] AB - AIM: This study was aimed to evaluate the cardiomyopathy in patients with type 2 diabetes mellitus (T2DM) who live with or without cardiovascular complications by estimating different cardiac biomarkers. METHODS: This cross-sectional study enrolled 125 participants including 25 healthy volunteers and 100 T2DM patients. After meeting all inclusion criteria, the participants were categorized into five groups (N = 25 in each) as; healthy volunteers (I), T2DM (II), T2DM with hypertension (III), T2DM with dyslipidemia (IV), T2DM with hypertension and dyslipidemia (V). Pearson's correlation analysis was performed to assess the significant association between cardiac biomarkers other biochemical parameters. P-values <0.05 were considered statistically significant. RESULTS: The average age of the participants was found to be 55.04 +/- 7.51 years. The positive correlation was found between HbA1c and calcium or BNP levels however, a negative association was observed with zinc level. Group V showed higher mean of BNP (pg/mL) as 86.73 +/- 64.49 followed by Group III (61.02 +/- 53.69), IV (33.88 +/- 33.71), II (13.49 +/- 11.67) and I (5.54 +/- 1.49) which predicts the subclinical cardiomyopathies in the respective groups. Serum zinc (microg/dL) level were significantly lower in Group V (52.72 +/- 12.16) followed by III (56.15 +/- 9.64), IV (58.10 +/- 10.05), II (59.49 +/- 11.33) and I (73.96 +/- 21.91). CONCLUSIONS: In summary, BNP and calcium levels were significantly elevated while zinc was significantly reduced in T2DM patients with cardiovascular complication. Results from the study also shown positive correlation between BNP, calcium, Troponin-I levels and blood pressure. However, further longitudinal studies required to confirm these findings. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Bashir, Aamir AU - Bashir A AD - Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Hajipur 844102, Bihar, India. FAU - Azharuddin, Md AU - Azharuddin M AD - Department of Pharmaceutical Medicine (Division of Pharmacology), School of Pharmaceutical Education and Research, Jamia Hamdard, 110062 New Delhi, India. FAU - Rashid, Ishfaq AU - Rashid I AD - Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, SAS Nagar, 160062 Punjab, India. FAU - Murti, Krishna AU - Murti K AD - Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Hajipur 844102, Bihar, India. Electronic address: krishnamurti74@gmail.com. FAU - Pandey, Krishna AU - Pandey K AD - Division of Clinical Medicine, Rajendra Memorial Research Institute of Medical Sciences (Indian Council of Medical Research), Agamkuan, Patna, 800007 Bihar, India. Electronic address: drkrishnapandey@yahoo.com. LA - eng PT - Journal Article DEP - 20190622 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Biomarkers) SB - IM MH - Biomarkers/*analysis MH - Cardiomyopathies/*diagnosis/etiology/metabolism MH - Case-Control Studies MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*complications MH - Dyslipidemias/*physiopathology MH - Female MH - Humans MH - Hypertension/*physiopathology MH - Male MH - Middle Aged MH - Prognosis EDAT- 2019/06/27 06:00 MHDA- 2019/11/15 06:00 CRDT- 2019/06/26 06:00 PHST- 2019/05/08 00:00 [received] PHST- 2019/05/29 00:00 [revised] PHST- 2019/06/18 00:00 [accepted] PHST- 2019/06/27 06:00 [pubmed] PHST- 2019/11/15 06:00 [medline] PHST- 2019/06/26 06:00 [entrez] AID - S0168-8227(19)30626-6 [pii] AID - 10.1016/j.diabres.2019.06.012 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2019 Aug;154:90-100. doi: 10.1016/j.diabres.2019.06.012. Epub 2019 Jun 22.