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Biventricular function and glycemic load in type 1 diabetic children: Doppler tissue-imaging study
Ahmed Anwer Khattab1, Mahmoud Ali Soliman
1Pediatrics Department, Faculty of Medicine, Menoufyia University Hospital, Sheebin El-Kom, Egypt, akhattab14@yahoo.com.
Pediatric Cardiology
|October 12, 2014
Summary
Children with type 1 diabetes mellitus exhibit impaired diastolic function in both ventricles, even before systolic dysfunction appears. Cardiac function should be monitored in pediatric patients with type 1 diabetes.
Area of Science:
- Cardiology
- Pediatrics
- Endocrinology
Background:
- Type 1 diabetes mellitus (DM) is a chronic condition affecting children.
- Cardiac complications can arise in diabetic patients.
- Early detection of cardiac dysfunction is crucial.
Purpose of the Study:
- To evaluate right- and left-ventricular function in children with type 1 DM.
- To correlate cardiac function with diabetes duration and metabolic control.
- To identify early signs of cardiac involvement in pediatric type 1 DM.
Main Methods:
- Included 30 children with type 1 DM and 20 healthy controls.
- Utilized conventional echocardiography and tissue Doppler imaging.
- Assessed diastolic and systolic function, and cardiac morphology.
Main Results:
- Type 1 DM patients showed impaired diastolic function in both ventricles.
- Systolic function remained normal in diabetic children.
- Increased interventricular septal and left ventricular posterior wall thickness correlated with diabetes duration.
Conclusions:
- Children with type 1 DM experience diastolic dysfunction before systolic impairment.
- Tissue Doppler echocardiography is valuable for assessing cardiac function in pediatric diabetes.
- Monitoring cardiac function is recommended for children with type 1 DM.
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