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Table 1 Baseline characteristics according to heart failure status

From: MR-proANP and incident cardiovascular disease in patients with type 2 diabetes with and without heart failure with preserved ejection fraction

 

No HF

HFpEF low MR-proANP

HFpEF high MR-proANP

HFrEF

p-value

n

646

27

114

19

 

Age, year (median [IQR])

64.4 [56.9–69.8]

60.2 [53.0–65.7]

69.8 [64.7–74.9]

72.2 [64.9–76.6]

 < 0.001

Male, n (%)

433 (67.0)

10 (37.0)

67 (58.8)

15 (78.9)

0.003

Body mass index, kg/m2 (median [IQR])

28.7 [26.0–32.8]

31.8 [28.9–38.2]

31.6 [28.0–34.2]

28.4 [26.0–31.3]

 < 0.001

T2DM duration, year (median [IQR])

11.0 [5.0–16.0]

15.0 [8.0–23.5]

15.0 [7.3–20.8]

12.0 [10.0–23.0]

 < 0.001

Known ischemic heart disease, n (%)

97 (15.0)

2 (7.4)

42 (36.8)

9 (47.4)

 < 0.001

Smoking, n (%)

    

0.903

 Never

276 (42.7)

13 (48.1)

47 (41.2)

8 (42.1)

 

 Active

88 (13.6)

5 (18.5)

19 (16.7)

2 (10.5)

 

 Former

282 (43.7)

9 (33.3)

48 (42.1)

9 (47.4)

 

Systolic blood pressure, mmHg (mean (sd))

134.6 (16.2)

134.8 (15.7)

139.1 (20.0)

141.3 (18.6)

0.029

Diastolic blood pressure, mmHg (mean (sd))

80.0 (10.8)

79.8 (10.1)

77.8 (10.9)

81.6 (9.3)

0.226

Heart rate, bpm (mean (sd))

72.4 (11.2)

76.6 (9.7)

68.2 (10.8)

72.7 (11.6)

 < 0.001

Angina, n (%)

44 (7.0)

6 (22.2)

23 (20.7)

4 (22.2)

 < 0.001

Dyspnea, n (%)

162 (25.1)

27 (100)

114 (100)

8 (42.1)

 < 0.001

New York Heart Association class, n (%)

    

 < 0.001

 I

484 (74.9)

0 (0.0)

0 (0.0)

11 (57.9)

 

 II

117 (18.1)

13 (48.1)

66 (57.9)

5 (26.3)

 

 III

38 (5.9)

14 (51.9)

43 (37.7)

3 (15.8)

 

 IV

7 (1.1)

0 (0.0)

5 (4.4)

0 (0.0)

 

MR-proANP, pmol/l (median [IQR])

65 [42–99]

46 [32–56]

124 [89–202]

125 [94–209]

 < 0.001

LDL cholesterol, mmol/l (median [IQR])

2.0 [1.5–2.6]

2.1 [1.8–2.6]

1.9 [1.6–2.3]

2.1 [1.8–2.9]

0.468

Creatinine, μmol/l (median [IQR])

77.0 [65.0–93.0]

69.5 [60.3–76.8]

97.0 [77.0–123.0]

78.0 [66.5–96.0]

 < 0.001

Albuminuria, n (%)

153 (23.7)

5 (18.5)

37 (32.5)

6 (31.6)

0.077

HbA1c, mmol/mol (median [IQR])

55.0 [48.0–65.0]

55.0 [48.5–71.0]

54.0 [48.0–67.0]

53.0 [44.5–69.0]

0.777

Hemoglobin, mmol/L (mean (SD))

8.7 (0.9)

8.4 (0.8)

8.1 (1.0)

8.8 (0.9)

 < 0.001

Treatment with

Metformin, n (%)

488 (75.5)

17 (63.0)

64 (56.1)

11 (57.9)

 < 0.001

Dipeptidyl peptidase-4 inhibitor, n (%)

69 (10.7)

4 (14.8)

9 (7.9)

1 (5.3)

0.586

Sulfonylurea, n (%)

106 (16.4)

2 (7.4)

16 (14.0)

5 (26.3)

0.335

Glucagon-like peptide-1 receptor agonist, n (%)

155 (24.0)

7 (25.9)

18 (15.8)

3 (15.8)

0.222

Insulin, n (%)

275 (42.6)

17 (63.0)

68 (59.6)

13 (68.4)

 < 0.001

Beta-blocker, n (%)

129 (20.0)

5 (18.5)

54 (47.4)

10 (52.6)

 < 0.001

ACE inhibitor, n (%)

256 (39.6)

6 (22.2)

37 (32.5)

10 (52.6)

0.081

Angiotensin-II receptor blocker, n (%)

241 (37.3)

10 (37.0)

56 (49.1)

7 (36.8)

0.123

Calcium channel blocker, n (%)

200 (31.0)

10 (37.0)

44 (38.6)

5 (26.3)

0.364

Diureticsa, n (%)

297 (46.0)

7 (25.9)

77 (67.5)

11 (57.9)

 < 0.001

Statins, n (%)

508 (78.6)

22 (81.5)

88 (77.2)

12 (63.2)

0.419

Anti-platelet therapy, n (%)

423 (65.5)

16 (59.3)

90 (78.9)

15 (78.9)

0.019

  1. For patients with HFpEF, stratification according to low (< 60 pmol/l) or high MR-proANP level is presented. p-value for comparison of all four groups
  2. ACE, angiotensin converting enzyme; bpm, beats per minute; HbA1c, glycated hemoglobin; HFpEF, heart failure with preserved ejection fraction; HFrEF, heart failure with reduced ejection fraction; IQR, interquartile range; LDL, low density lipoprotein; mm Hg, millimeters of mercury; MR-proANP, mid-regional pro-atrial natriuretic peptide; sd, standard deviation; T2D, type 2 diabetes mellitus
  3. aInclude loop diuretics, thiazides, or mineralocorticoid receptor antagonists