Cardiovascular diagnostic methods in patients with diabetes mellitus. A review

Alberto Ramón-Ríos1, Adrián Espejel-Guzmán2, Aldo Cabello-Ganem1

  • 1Department of Nuclear Cardiology, Instituto Nacional de Cardiología "Ignacio Chávez".

Gaceta Medica De Mexico
|July 26, 2023
PubMed

Insights

Type 2 diabetes mellitus (T2DM) significantly increases cardiovascular disease risk. Echocardiography is crucial for diagnosing heart failure in T2DM patients by assessing cardiac structure and function.

Area of Science:

  • Cardiology
  • Endocrinology
  • Medical Imaging

Background:

  • Cardiovascular diseases (CVDs) are the leading global cause of mortality.
  • Type 2 Diabetes Mellitus (T2DM) is a major risk factor for major adverse cardiovascular events.
  • T2DM patients face a four-fold increased risk of heart failure and 10-12 times higher mortality rates.

Purpose of the Study:

  • To highlight the critical role of echocardiography in diagnosing heart failure in T2DM patients.
  • To emphasize the diagnostic capabilities of echocardiography in identifying cardiac abnormalities.

Main Methods:

  • Utilizing echocardiography in all its modalities.
  • Analyzing static and dynamic cardiac images.
  • Identifying structural and functional cardiac changes.

Main Results:

  • Echocardiography provides comprehensive visualization of the heart.
  • The modality allows for the detection of pressure and flow variations.
  • It enables assessment of left ventricular ejection fraction and myocardial remodeling.

Conclusions:

  • Echocardiography is the premier clinical tool for heart failure diagnosis.
  • It is essential for evaluating cardiac health in patients with T2DM.
  • Comprehensive cardiac assessment via echocardiography aids in managing cardiovascular risks associated with T2DM.

Related Concept Videos

Diabetes: Symptoms, Diagnosis, and Complications01:15

Diabetes: Symptoms, Diagnosis, and Complications

For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
595
Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
368
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
17
Assessment of the Cardiovascular System II: Inspection01:29

Assessment of the Cardiovascular System II: Inspection

Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
288
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
996
Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
441