TƯƠNG QUAN GIỮA KÍCH THƯỚC THẤT TRÁI VỚI CÁC YẾU TỐ CỦA HỘI CHỨNG CHUYỂN HÓA Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TYPE 2

Abstract

Objective: To determine the correlation between left ventricular diameters and elements of metabolic syndrome (MS) in patients with type 2 diabetes mellitus (DM). Subjects and research methods: The cross-sectional descriptive study was conducted with 183 patients with type 2 diabetes with MS and 75 patients with type 2 diabetes without MS at Thai Binh Medical University Hospital from February to the end of August 2022. Results: The average age of the study subjects was 68.3 ± 8.7, the age from 60 to 69 years in the group with metabolic syndrome accounted for the highest proportion (74%). The ratio of women to men with MS is 2/1. Type 2 diabetes patients with MS, with overweight and large waist circumference were higher than patients without MS (2.5/1, 8/1, respectively), p<0.05. There was a proportional correlation of weakness between left posterior ventricular wall thickness, left ventricular muscle mass index with systolic and diastolic blood pressure (corresponding to r=0.20, p<0.001; r=0.23, p<0.005). Left ventricular muscle mass is correlated with average systolic blood pressure, r=0.3, p<0.001. There is a positive correlation between left posterior wall thickness, left ventricular muscle mass with waist circumference and BMI. Multivariate linear regression analysis showed that the left ventricular diameter at the end of the diastolic period, the left ventricular muscle mass index was proportional to the BMI and systolic blood pressure. There was no correlation between fasting blood glucose, HbA1c levels, blood lipid levels with left ventricular diameters, p>0.05. Conclusion: Metabolic syndrome factors affecting left ventricular diameters in patients with type 2 diabetes.