A recent study in Journal of Diabetes and Its Complications reported that health status is generally compromised in individuals with Stage B heart failure due to diabetic cardiomyopathy. The study aimed to assess the factors that affect health status and to determine their correlation with parameters in patients with diabetic cardiomyopathy (DbCM).
The study included 691 individuals with DbCM. Researchers assessed cardiopulmonary exercise testing (CPET), the Kansas City Cardiomyopathy Questionnaire (KCCQ), laboratory assessments, echocardiography, and the Physical Activity Scale for the Elderly (PASE) score at baseline for each patient.
Results revealed that most of the participants with lower KCCQ-Clinical Summary Scores were women. They also had a higher body mass index, lower hemoglobin levels, increased levels of natriuretic peptide, and poor kidney function. Lower KCCQ-CSS scores were associated with lower PASE scores, lower peak exercise oxygen consumption (VO₂), and shorter CPET duration. Although there was an association between worse health status and poor activity, the degree of correlation was low. KCCQ-CSS found no significant association with cardiac biomarkers, kidney function, and echocardiographic measurements.
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Key highlights
- The poor health status in patients with diabetic cardiomyopathy (DbCM)-related Stage B heart failure indicates the significance of early intervention, even in asymptomatic stages.
- There is only a weak correlation between the subjective Kansas City Cardiomyopathy Questionnaire (KCCQ) and physical activity (PASE) and cardiopulmonary exercise testing (CPET) scores, indicating that the KCCQ may not accurately measure physical ability to function.
- As KCCQ, CPET, and PASE each provide specific insights, a detailed evaluation using all of these tools is necessary for a more thorough understanding of patient status in DbCM.
Source
Siddiqi TJ, Liu Y, Zannad F, et al. Health status in stage B heart failure from diabetic cardiomyopathy baseline results from ARISE-HF. J Diabetes Complications. 2025;39(7):109059. doi:10.1016/j.jdiacomp.2025.109059
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Health status is generally compromised in individuals with Stage B heart failure due to diabetic cardiomyopathy
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