Evidence map›Paper›PMID 40422951›Full record

ArticleJournal of cardiovascular development and disease2025

Left Ventricular Systolic Function in Asymptomatic Men Aged 65-75 Years, Relation to Insulin Resistance and Pre-Diabetes: A DANCAVAS Cross-Sectional Sub-Study.

Johanna Larsson, Søren Auscher, Freja Sønder Madsen, Katrine Schultz Overgaard, Gokulan Pararajasingam, Laurits Juhl Heinsen, Thomas Rueskov Andersen, Jes Sanddal Lindholt, Jess Lambrechtsen, Kenneth Egstrup

Abstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Johanna LarssonCardiovascular Research Unit, Odense University Hospital Svendborg, Baagøes Allé 15, 5700 Svendborg, Denmark.ORCID 0000-0003-4573-3227
Søren AuscherDepartment of Cardiology, Odense University Hospital Svendborg, Baagøes Allé 15, 5700 Svendborg, Denmark.ORCID 0000-0003-0399-2503
Freja Sønder MadsenCardiovascular Research Unit, Odense University Hospital Svendborg, Baagøes Allé 15, 5700 Svendborg, Denmark.ORCID 0009-0003-7705-9035
Katrine Schultz OvergaardCardiovascular Research Unit, Odense University Hospital Svendborg, Baagøes Allé 15, 5700 Svendborg, Denmark.ORCID 0000-0003-4445-8235
Gokulan PararajasingamCardiovascular Research Unit, Odense University Hospital Svendborg, Baagøes Allé 15, 5700 Svendborg, Denmark.ORCID 0000-0002-4183-017X
Laurits Juhl HeinsenCardiovascular Research Unit, Odense University Hospital Svendborg, Baagøes Allé 15, 5700 Svendborg, Denmark.
Thomas Rueskov AndersenCardiovascular Research Unit, Odense University Hospital Svendborg, Baagøes Allé 15, 5700 Svendborg, Denmark.ORCID 0000-0003-0251-4489
Jes Sanddal LindholtDepartment of Cardiac, Thoracic and Vascular Surgery, Odense University Hospital Odense, J.B. Winsløws Vej 4, 5000 Odense, Denmark.ORCID 0000-0001-9536-4488
Jess LambrechtsenDepartment of Cardiology, Odense University Hospital Svendborg, Baagøes Allé 15, 5700 Svendborg, Denmark.ORCID 0000-0002-9976-9981
Kenneth EgstrupCardiovascular Research Unit, Odense University Hospital Svendborg, Baagøes Allé 15, 5700 Svendborg, Denmark.

Funding

Odense University Hospital 1648
6 · The paper itself

Abstract

aimInsulin resistance (IR) and hyperglycemia have been associated with increased risk of heart failure (HF) in patients with and without diabetes. Global longitudinel strain (GLS) has been shown to be superior in the detection of left ventricular (LV) systolic dysfunction when compared to ejection fraction (EF). In this study, we aimed to assess GLS in relation to IR and pre-diabetes.

methodAll participants underwent an echocardiography to assess LV systolic function using GLS. IR was evaluated using homeostatic model assessment for IR (HOMA-IR), and the participants were divided into tertiles based on their HOMA-IR values. An oral glucose tolerance test (OGTT) was performed to divide participants into normal glucose tolerance (NGT) and pre-diabetes. A multivariable linear regression model was used to assess GLS in relation to IR and glycemic groups.

resultsIn total, 359 men without significant coronary artery disease (CAD) and without diabetes were enrolled. Participants in the higher HOMA-IR tertile had significantly reduced GLS when compared with participants in the lower HOMA-IR tertile (-17.9% vs. -18.7%,

conclusionsIn asymptomatic elderly men with no diabetes or CAD, neither IR nor pre-diabetes was associated with GLS in the adjusted regression model. Increased WH seems to be associated with reduced systolic function by GLS measurement.

Indexed as

asymptomaticdiastolic dysfunctionglobal longitudinal straininsulin resistancepre-diabetes

Identifiers

PMID40422951
PMCPMC12112607

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.