Cardiac energetics, oxygenation, and perfusion during increased workload in patients with type 2 diabetes mellitus

Eur Heart JPublished Cross-sectional study

Authors' conclusion

The pre-existing energetic deficit in diabetic cardiomyopathy is exacerbated by exercise; stress PCr/ATP correlates with impaired perfusion and oxygenation.

Study context

Population
Patients with T2DM without significant coronary artery disease (CAD) (>50% coronary stenosis), on oral antidiabetic therapies
Participants
31 vs 17
Exposure
T2DM vs matched controls
  • T2DMn = 31
  • Controlsn = 17reference
Methodological detailsmatched controls, Adenosine stress CMR for perfusion (myocardial perfusion reserve index (MPRI)) and oxygenation (blood-oxygen level-dependent (BOLD) SIΔ); cardiac phosphorus-MR spectroscopy at rest and during leg exercise
  • Matched controls
  • Adenosine stress CMR for perfusion (MPRI) and oxygenation (BOLD SIΔ); cardiac phosphorus-MR spectroscopy at rest and during leg exercise

Original publication

Cardiac energetics, oxygenation, and perfusion during increased workload in patients with type 2 diabetes mellitus. Eur Heart J. Published 20 September 2015. doi:10.1093/eurheartj/ehv442

Summarised from the published abstract; every number is checked against it

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