Ghrelin and Diastolic Heart Function
Study Details
Study Description
Brief Summary
In type 2 diabetes mellitus (T2DM) and obese patients the adipose tissue could over-express cytokines, sirtuin-1 (SIRT1), and microRNAs (miRs) implied in the regulation of left ventricle (LV) diastolic function (LV-DF). Ghrelin could modulate these pathways. Thus, in the current study authors will investigate ghrelin expression in T2DM obese patients after abdominal fat excision, and particularly in those with normalization of LV-DF at 1 year of follow-up.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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type 2 diabetes mellitus (T2DM) obese patients without left ventricle (LV) diastolic dysfunction.
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Procedure: abdominal plastic intervention
According to international guidelines, authors will remove the superficial abdominal fat from the patients enrolled in the study.
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T2DM obese patients with first degree of left ventricle (LV) diastolic dysfunction.
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Procedure: abdominal plastic intervention
According to international guidelines, authors will remove the superficial abdominal fat from the patients enrolled in the study.
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T2DM obese patients with second degree of left ventricle (LV) diastolic dysfunction.
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Procedure: abdominal plastic intervention
According to international guidelines, authors will remove the superficial abdominal fat from the patients enrolled in the study.
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Outcome Measures
Primary Outcome Measures
- normalization of LV diastolic dysfunction [12 months]
At 1 year of follow-up authors evaluated the patients (those with first and second degree of LV diastolic dysfunction) that will experience the normalization of LV diastolic function.
Eligibility Criteria
Criteria
Inclusion Criteria:
- T2DM obese patients with anti-diabetic full medical therapy and glycemic control.
Exclusion Criteria:
- patients with a diagnosis of type 1 diabetes, T2DM in poor glycemic control (HbA1c values of >7%), chronic neurological disorders, heart failure and coronary heart disease or depression of left ventricular ejection fraction (LVEF <55%); patients with severe anemia, thyroid dysfunction, kidney failure; patients with uncontrolled blood pressure (blood pressure > 140/90 mmHg on two occasions 2 weeks apart), inflammatory chronic disease, and neoplastic disease.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Celestino Sardu | Naples | Italy | 80138 |
Sponsors and Collaborators
- University of Campania "Luigi Vanvitelli"
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 0408052023