Increased left ventricular mass as a marker of left ventricular hypertrophy in normotensive type 2 DM patients

Abstract Background Diabetes is considered to be one of the most important metabolic conditions causing left ventricular (LV) dysfunction, one of which is Left ventricular hypertrophy (LVH). Increased left ventricular mass (LVM) and left ventricular mass index (LVMI) are significant predictors of LV...

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Main Authors: Moustafa Kamal Eldin Ibrahim Khalil Saad, Mohamed Saleh Gomaa, Abdelrahman Ahmed Ewais, Maher Abobaker Alamir, Mohamed Shaban Hashem Mahmoud
Format: Article
Language:English
Published: SpringerOpen 2025-03-01
Series:The Egyptian Journal of Internal Medicine
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Online Access:https://doi.org/10.1186/s43162-025-00428-7
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author Moustafa Kamal Eldin Ibrahim Khalil Saad
Mohamed Saleh Gomaa
Abdelrahman Ahmed Ewais
Maher Abobaker Alamir
Mohamed Shaban Hashem Mahmoud
author_facet Moustafa Kamal Eldin Ibrahim Khalil Saad
Mohamed Saleh Gomaa
Abdelrahman Ahmed Ewais
Maher Abobaker Alamir
Mohamed Shaban Hashem Mahmoud
author_sort Moustafa Kamal Eldin Ibrahim Khalil Saad
collection DOAJ
description Abstract Background Diabetes is considered to be one of the most important metabolic conditions causing left ventricular (LV) dysfunction, one of which is Left ventricular hypertrophy (LVH). Increased left ventricular mass (LVM) and left ventricular mass index (LVMI) are significant predictors of LVH. Aim This study aims to illustrate the significance of using echocardiography to detect left ventricular hypertrophy (as a type of LV dysfunction) in normotensive patients with type 2 diabetes mellitus. Materials and methods The study included 100 participants who were distributed into two groups: group A included normotensive patients with type 2 DM and group B included normotensive non-diabetic patients as a control group. Results LVM values were significantly higher in group A patients compared to group B (187.11 ± 60.83 vs. 119.15 ± 41.87, p < 0.001). Also, LVMI values were significantly higher in group A in comparison to group B (96.64 ± 29.84 vs. 63.17 ± 20.38, p < 0.001). The proportion of abnormal LVMI was higher in group A than group B (56% vs. 6%, p < 0.001). There was a statistically significant positive correlation between LVM and several study parameters including disease duration (r = 0.369, p = 0.008), FBS (r = 0.478, p < 0.001), 2HPP (0.400, p = 0.004), HA1C (%) (r = 0.589, p = 0.003), LVEDD (r = 0.790, p < 0.001), LVESD (r = 0.388, p = 0.005), SWT (r = 0.897, p < 0.001), PWT (r = 0.808, p < 0.001), and LA (r = 0.322, p = 0.022). Conclusion Left ventricular mass was found to be significantly higher in normotensive type 2 DM patients in comparison to the normotensive non-diabetic control group. LVM is a good marker of LVH among normotensive diabetics and significantly correlates with DM control and duration.
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spelling doaj-art-9a934dc4274f4bee9f76188f604f022e2025-08-20T01:57:27ZengSpringerOpenThe Egyptian Journal of Internal Medicine2090-90982025-03-013711710.1186/s43162-025-00428-7Increased left ventricular mass as a marker of left ventricular hypertrophy in normotensive type 2 DM patientsMoustafa Kamal Eldin Ibrahim Khalil Saad0Mohamed Saleh Gomaa1Abdelrahman Ahmed Ewais2Maher Abobaker Alamir3Mohamed Shaban Hashem Mahmoud4Faculty of Medicine, Department of Cardiology, Fayoum UniversityFaculty of Medicine, Department of Internal Medicine, Fayoum UniversityFaculty of Medicine, Department of Internal Medicine, Fayoum UniversityFaculty of Medicine, Department of Internal Medicine, Fayoum UniversityFaculty of Medicine, Department of Internal Medicine, Fayoum UniversityAbstract Background Diabetes is considered to be one of the most important metabolic conditions causing left ventricular (LV) dysfunction, one of which is Left ventricular hypertrophy (LVH). Increased left ventricular mass (LVM) and left ventricular mass index (LVMI) are significant predictors of LVH. Aim This study aims to illustrate the significance of using echocardiography to detect left ventricular hypertrophy (as a type of LV dysfunction) in normotensive patients with type 2 diabetes mellitus. Materials and methods The study included 100 participants who were distributed into two groups: group A included normotensive patients with type 2 DM and group B included normotensive non-diabetic patients as a control group. Results LVM values were significantly higher in group A patients compared to group B (187.11 ± 60.83 vs. 119.15 ± 41.87, p < 0.001). Also, LVMI values were significantly higher in group A in comparison to group B (96.64 ± 29.84 vs. 63.17 ± 20.38, p < 0.001). The proportion of abnormal LVMI was higher in group A than group B (56% vs. 6%, p < 0.001). There was a statistically significant positive correlation between LVM and several study parameters including disease duration (r = 0.369, p = 0.008), FBS (r = 0.478, p < 0.001), 2HPP (0.400, p = 0.004), HA1C (%) (r = 0.589, p = 0.003), LVEDD (r = 0.790, p < 0.001), LVESD (r = 0.388, p = 0.005), SWT (r = 0.897, p < 0.001), PWT (r = 0.808, p < 0.001), and LA (r = 0.322, p = 0.022). Conclusion Left ventricular mass was found to be significantly higher in normotensive type 2 DM patients in comparison to the normotensive non-diabetic control group. LVM is a good marker of LVH among normotensive diabetics and significantly correlates with DM control and duration.https://doi.org/10.1186/s43162-025-00428-7Left ventricular hypertrophyLeft ventricular massLeft ventricular mass indexDiabetes mellitus
spellingShingle Moustafa Kamal Eldin Ibrahim Khalil Saad
Mohamed Saleh Gomaa
Abdelrahman Ahmed Ewais
Maher Abobaker Alamir
Mohamed Shaban Hashem Mahmoud
Increased left ventricular mass as a marker of left ventricular hypertrophy in normotensive type 2 DM patients
The Egyptian Journal of Internal Medicine
Left ventricular hypertrophy
Left ventricular mass
Left ventricular mass index
Diabetes mellitus
title Increased left ventricular mass as a marker of left ventricular hypertrophy in normotensive type 2 DM patients
title_full Increased left ventricular mass as a marker of left ventricular hypertrophy in normotensive type 2 DM patients
title_fullStr Increased left ventricular mass as a marker of left ventricular hypertrophy in normotensive type 2 DM patients
title_full_unstemmed Increased left ventricular mass as a marker of left ventricular hypertrophy in normotensive type 2 DM patients
title_short Increased left ventricular mass as a marker of left ventricular hypertrophy in normotensive type 2 DM patients
title_sort increased left ventricular mass as a marker of left ventricular hypertrophy in normotensive type 2 dm patients
topic Left ventricular hypertrophy
Left ventricular mass
Left ventricular mass index
Diabetes mellitus
url https://doi.org/10.1186/s43162-025-00428-7
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