stepwise increases in left ventricular mass index and decreases in left ventricular ejection fraction correspond with the stages of chronic kidney disease in diabetes patients逐步增加左心室质量指数和左心室射血分数的减少与糖尿病患者的慢性肾脏疾病的阶段.pdfVIP

Hindawi Publishing Corporation Experimental Diabetes Research Volume 2012, Article ID 789325, 7 pages doi:10.1155/2012/789325 Clinical Study Stepwise Increases in Left Ventricular Mass Index and Decreases in Left Ventricular Ejection Fraction Correspond with the Stages of Chronic Kidney Disease in Diabetes Patients Szu-Chia Chen,1, 2 Jer-Ming Chang,1, 2, 3 Wan-Chun Liu,1, 2 Yi-Chun Tsai,1 Jer-Chia Tsai,1, 3 Ho-Ming Su,2, 4, 5 Shang-Jyh Hwang,1, 3 and Hung-Chun Chen1, 3 1 Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan 2 Department of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung 812, Taiwan 3 Department of Renal Care, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan 4 Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan 5 Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan Correspondence should be addressed to Ho-Ming Su, cobeshm@seed.net.tw Received 9 May 2011; Accepted 24 June 2011 Academic Editor: Yingmei Zhang Copyright © 2012 Szu-Chia Chen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Aims . Patients with diabetic nephropathy are reported to have a high prevalence of left ventricular structural and functional abnormalities. This study was designed to assess the determinants of left ventricular mass index (LVMI) and left ven