1.Evaluation of some changes in liver function in patients with alcohol use disorder
Udmaral B ; Byambajargal D ; Pagmadulam B ; Oyundelger M ; Zoljargal S ; Oyunchimeg D ; Erdenebat N
Diagnosis 2025;112(1):75-79
Background:
To evaluate changes in liver function in patients with alcohol use disorder and propose preventive measures.
Methods:
In this study, 118 people were examined between January 2024 to December 2024. Results were analyzed SPSS.
Result:
The mean subject age was 48.6± 10.3 years, male: female ratio was 5:1. Mean arterial pressure was 104±12.8 mmHg, ALT 86.7 ± 93.8 (U/L), AST 89.3±82.8 (U/L), GGT 213.8±252.3 (U/L). A statistically
significant correlation was found between AST and ALT levels (R² = 0.562). However, no significant correlation was observed between body mass index (BMI) and blood glucose levels (R² = 0.002). The AST/ALT ratio was also statistically significant (p = 0.0001).
Conclusion
Excessive alcohol consumption increases the levels of liver enzymes AST 89.3 ± 82.8 (U/L), ALT 86.7
± 93.8 (U/L), and GGT 213.8 ± 252.3 (U/L), leading to increased liver cell damage. Therefore, it is necessary to reduce alcohol consumption and implement preventive measures.
2.Screening for asymptomatic cardiac ventricular dysfunction in diabetic subjects
Tsolmon U ; Chingerel Kh ; Burmaa B ; Sumiya Ts ; Pagmadulam S ; Chuluuntsetseg O ; Enkhjargal Yu
Mongolian Journal of Health Sciences 2025;86(2):55-59
Background:
Type 2 diabetes has increased risk of heart failure 2-4 times more than those in non-diabetic subjects. The
early detection of asymptomatic ventricular dysfunction by using NT-pro BNP test in diabetic patients is the best strategy
for decreasing morbidity and mortality of heart failure.
Aim:
The aims of this study were to detect asymptomatic cardiac ventricular dysfunction by using NT-pro BNP test in
subjects with type 2 diabetes and to define the factors associated with elevated NT-proBNP.
Materials and Methods:
This cross-sectional study was included diabetic and non diabetic subjects aged from 35- to 64
years, who had no clinical symptoms of heart failure. Cardiovascular risk factors were detected by clinical examinations.
NT-pro BNP determination was performed on an immunoassay analyzer (FIA1100, Getein Bio Medical Inc, China),
which uses reagent strip to obtain quantitative NT-pro BNP results in plasma. The cut-off point for NT-pro BNP was 300
pg/ml.
Results:
A total of 536 subjects without clinical symptoms of heart failure were included in the study of which, 150 were
diabetic and 386 were non diabetic. The mean age was 52.8 ± 7.8 years and 281 (52.4%) were females. Cardiac ventricular
dysfunction was detected in 7.3% of diabetic and 5.2% of non diabetic subjects. Cardiac ventricular dysfunction in
diabetic subjects was increased with age and non-significantly higher in females than in males (8.3% vs 6.4%, p>0.05). In
the logistic regression analysis, uncontrolled hypertension (OR 3.80, 95% CI 1.07–13.44), long duration of disease (OR
5.30, 95% CI 1.36-20.66), and ageing (OR 5.40, 95% CI 1.29–22.88) were significantly correlated cardiac ventricular
dysfunction in subjects with type 2 diabetes.
Conclusion
Cardiac ventricular dysfunction in subjects with type 2 diabetes was detected 1.4 times more than those
in non diabetic subjects. The likelihood of positive NT-pro BNP test in subjects with type 2 diabetes was independently
(p<0.05) associated with advanced age, uncontrolled hypertension and long duration of diabetes.