The Eurasian Journal of Medicine
Original Article

Evaluation of the Relationship Between Diabetic Retinopathy and the Development of Left Atrial Stiffness in Patients with Diabetes Mellitus


Department of Cardiology, Atatürk University Faculty of Medicine, Erzurum, Türkiye


Department of Cardiology, Hisar Intercontinental Hospital, İstanbul, Türkiye


Department of Cardiology, Ardahan State Hospital, Ardahan, Türkiye


Department of Cardiology, Erzurum City Hospital, Erzurum, Türkiye


Department of Cardiology, İzmir University of Economics, İzmir, Türkiye


Department of Ophthalmology, Medical Faculty, Atatürk Üniversitesi, Erzurum, Türkiye


Department of Cardiology, Afyonkarahisar Health Sciences University, Afyon, Türkiye

Eurasian J Med 2023; 55: 249-253
DOI: 10.5152/eurasianjmed.2023.23235
Read: 728 Downloads: 352 Published: 25 October 2023

Objective: Based on several studies, atrial remodeling results in an increase in left atrial (LA) stiffness, which is indicative of a worsened reservoir function. A typical microvascular consequence of diabetes mellitus (DM) is diabetic retinopathy. Therefore, the objective of this study was to assess the factors that might be related to LA stiffness in DM patients.

Materials and Methods: There were 200 DM patients in the study population. The LA stiffness value of 0.33 led to the division of the patients into 2 groups. According to these groups, the parameters to predict the development of the LA stiffness were investigated.

Results: The patient population’s median age was 54.7 ± 9.4 years, and of them, 105 (52.5% of the population) were men. Retinopathy was substantially linked with LA stiffness. Interventricular septum thickness (B coefficient: 0.261, 95% CI 0.128; 0.394; P < .001), mitral annular plane systolic excursion (B coefficient: −0.350, 95% CI −0.489; −0.2212; P < 0.001), and retinopathy (B coefficient: 0.644, 95% CI 0.307; 0.983; P < .001) were identified as independent predictors of the progression of LA stiffness by the linear regression model.

Conclusion: The results of the current investigation demonstrated a correlation between higher LA stiffness values and the presence of diabetic retinopathy in diabetic patients.

Cite this article as: Birdal O, Saygı M, Doğan R, et al. Evaluation of the relationship between diabetic retinopathy and the development of left atrial stiffness in patients with diabetes mellitus. Eurasian J Med. 2023;55(3):249-253.

EISSN 1308-8742