Association of lipids and inflammatory markers with left ventricular wall thickness in patients with bipolar disorder.
J Affect Disord
; 358: 12-18, 2024 Aug 01.
Article
en En
| MEDLINE
| ID: mdl-38705523
ABSTRACT
BACKGROUND:
Individuals with bipolar disorder (BD) face a high risk of heart failure and left ventricular (LV) dysfunction. Despite strong evidence that high LV relative wall thickness (RWT) is a risk marker for heart failure, few studies have evaluated LV RWT and aggravating factors in individuals with BD.METHODS:
We recruited 104 participants (52 patients with BD and 52 age- and sex-matched mentally healthy controls) to undergo echocardiographic imaging and biochemistry, high-sensitivity C-reactive protein (hs-CRP), and blood cell count measurements. LV RWT was estimated using the following equation (2 × LV posterior wall end-diastolic thickness)/LV end-diastolic diameter. Clinical data were obtained through interviews and chart reviews.RESULTS:
The BD group exhibited a significantly greater LV RWT (Cohen's d = 0.53, p = 0.003) and a less favorable mitral valve E/A ratio (Cohen's d = 0.54, p = 0.023) and LV global longitudinal strain (Cohen's d = 0.57, p = 0.047) than did the control group. Multiple linear regression revealed that in the BD group, serum triglyceride levels (ß = 0.466, p = 0.001), platelet-to-lymphocyte ratios (ß = 0.324, p = 0.022), and hs-CRP levels (ß = 0.289, p = 0.043) were all significantly and positively associated with LV RWT.LIMITATIONS:
This study applied a cross-sectional design, meaning that the direction of causation could not be inferred.CONCLUSIONS:
Patients with BD are at a risk of heart failure, as indicated by their relatively high LV RWT. Lipid levels and systemic inflammation may explain this unfavorable association.Palabras clave
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Base de datos:
MEDLINE
Asunto principal:
Triglicéridos
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Trastorno Bipolar
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Proteína C-Reactiva
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Ecocardiografía
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Biomarcadores
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Ventrículos Cardíacos
Idioma:
En
Revista:
J Affect Disord
Año:
2024
Tipo del documento:
Article