From: Elevated exhaled acetone concentration in stage C heart failure patients with diabetes mellitus
Stage A or B (n = 20) | Stage C (n = 35) | P value | |
---|---|---|---|
Age, years | 69 ± 8 | 72 ± 20 | 0.431 |
Male | 15 (75) | 21 (60) | 0.260 |
BMI, kg/m2 | 22 ± 4 | 21 ± 5 | 0.109 |
Smoking history | 16 (80) | 19 (54) | 0.057 |
NYHA class, I/II/III/IV | – | 3/28/4/0 | – |
SBP, mmHg | 131 ± 19 | 124 ± 22 | 0.161 |
Heart rate, beats/min | 71 ± 16 | 77 ± 19 | 0.077 |
Etiology | |||
Ischemic | – | 9 (26) | – |
Valvular | – | 3 (9) | – |
Cardiomyopathy | – | 13 (37) | – |
Others | – | 10 (29) | – |
Hypertension | 13 (65) | 26 (74) | 0.466 |
COPD | 4 (20) | 2 (6) | 0.119 |
Atrial fibrillation | 3 (15) | 11 (31) | 0.178 |
Laboratory data | |||
eGFR, mL/min/1.73 m2 | 65 ± 18 | 44 ± 22 | < 0.001 |
Total cholesterol, mg/dL | 173 ± 32 | 163 ± 46 | 0.430 |
Total bilirubin, mg/dL | 0.9 ± 0.3 | 0.9 ± 0.4 | 0.562 |
Glucose, mg/dL | 125 ± 24 | 125 ± 37 | 0.403 |
Hemoglobin A1c, % | 7.0 ± 1.2 | 6.7 ± 0.7 | 0.719 |
BNP, pg/mL (median, IQR) | 32 (15–44) | 274 (61–459) | < 0.001 |
TKB, μmL/L (median, IQR) | 158 (68–271) | 228 (75–448) | 0.186 |
Echocardiography | |||
LVDd, mm | 47 ± 7 | 52 ± 10 | 0.046 |
LVDs, mm | 31 ± 7 | 40 ± 12 | 0.008 |
LVEF, % | 58 ± 7 | 44 ± 16 | 0.005 |
LAD, mm | 37 ± 6 | 44 ± 8 | 0.009 |
E, cm/s | 0.6 ± 0.1 | 0.8 ± 0.3 | 0.032 |
Dct, msec | 223 ± 54 | 198 ± 67 | 0.105 |
Medication | |||
ACE-I/ARB | 10 (50) | 22 (63) | 0.352 |
β-blocker | 7 (35) | 24 (69) | 0.016 |
Insulin | 5 (25) | 8 (23) | 0.553 |
Oral antidiabetic agents except SGLT-2 inhibitor | 12 (60) | 16 (46) | 0.308 |
SGLT-2 inhibitor | 1 (5) | 3 (9) | 0.537 |