The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Risk of cardiovascular, cardiac and arrhythmic complications in patients with non-alcoholic fatty liver disease
Open accessAbstract
OBJECTIVEdData on cardiac function in patients with nonalcoholic fatty liver disease (NAFLD) are limited and conflicting.We assessed whether NAFLD is associated with abnormalities in cardiac function in patients with type 2 diabetes.RESEARCH DESIGN AND METHODSdWe studied 50 consecutive type 2 diabetic individuals without a history of ischemic heart disease, hepatic diseases, or excessive alcohol consumption, in whom NAFLD was diagnosed by ultrasonography.A tissue Doppler echocardiography with myocardial strain measurement was performed in all patients.RESULTSdThirty-two patients (64%) had NAFLD, and when compared with the other 18 patients, age, sex, BMI, waist circumference, hypertension, smoking, diabetes duration, microvascular complication status, and medication use were not significantly different.In addition, the left ventricular (LV) mass and volumes, ejection fraction, systemic vascular resistance, arterial elasticity, and compliance were also not different.NAFLD patients had lower e9 (8.2 6 1.5 vs. 9.9 6 1.9 cm/s, P , 0.005) tissue velocity, higher E-to-e9 ratio (7.90 6 1.3 vs. 5.59 6 1.1, P , 0.0001), a higher time constant of isovolumic relaxation (43.1 6 10.1 vs. 33.26 12.9 ms, P , 0.01), higher LV-end diastolic pressure (EDP) (16.5 6 1.1 vs. 15.1 6 1.0 mmHg, P , 0.0001), and higher LV EDP/end diastolic volume (0.20 6 0.03 vs. 0.18 6 0.02 mmHg, P , 0.05) than those without steatosis.Among the measurements of LV global longitudinal strain and strain rate, those with NAFLD also had higher E/global longitudinal diastolic strain rate during the early phase of diastole (E/SR E ).All of these differences remained significant after adjustment for hypertension and other cardiometabolic risk factors.CONCLUSIONSdOur data show that in patients with type 2 diabetes and NAFLD, even if the LV morphology and systolic function are preserved, early features of LV diastolic dysfunction may be detected.
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Cited by
Non-alcoholic fatty liver disease and dyslipidemia: An update
Katsiki, N., Mikhailidis, D. P., & Mantzoros, C. S. (2016) · Metabolism · doi:10.1016/j.metabol.2016.05.003 · Cited by 564
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Nonalcoholic fatty liver disease and aging: epidemiology to management.
Bertolotti, M. (2014) · World Journal of Gastroenterology · doi:10.3748/wjg.v20.i39.14185 · Cited by 270
Golabi, P., Otgonsuren, M., de Avila, L., Sayiner, M., Rafiq, N., & Younossi, Z. M. (2018) · Medicine · doi:10.1097/md.0000000000010214 · Cited by 221
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Metadata
- Authors
- Ballestri, S.
- Venue
- World Journal of Gastroenterology
- Publisher
- Baishideng Publishing Group Inc.
- Published
- 2014
- Volume
- 20
- Issue
- 7
- Pages
- 1724
- ISSN
- 1007-9327 (ISSN-L)
- OpenAlex
- W2029498977
- Cited by
- 262
- References
- 19
- FWCI
- 19.37
- Type
- journal article
- Language
- en
- Open access
- hybrid
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