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[Left ventricular diastolic function in type I diabetes. A longitudinal echocardiographic study].

F Chiarella, G L Viviani, P Bellotti

    Giornale Italiano Di Cardiologia
    |July 1, 1986
    PubMed
    Summary

    Diastolic abnormalities are common in patients with type I diabetes, affecting left ventricular function. These abnormalities were found to be stable over a 5-year period in patients with good metabolic control.

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    Area of Science:

    • Cardiology
    • Diabetology
    • Medical Imaging

    Context:

    • Type I diabetes mellitus (TID) is associated with cardiovascular complications.
    • Left ventricular diastolic dysfunction (LVDD) is an early indicator of cardiac impairment.
    • Echocardiography is a key tool for assessing cardiac structure and function.

    Purpose:

    • To evaluate the prevalence and progression of left ventricular diastolic abnormalities in patients with TID.
    • To compare diastolic function between TID patients and a healthy control group.
    • To investigate the relationship between LVDD and clinical factors in TID.

    Summary:

    • Patients with TID exhibited significantly reduced peak rates of posterior wall excursion and internal dimension increase.
    • TID patients showed prolonged isovolumic relaxation time and index compared to controls.

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  • No significant progression of diastolic dysfunction was observed over 5 years in TID patients with stable metabolic control.
  • Impact:

    • Diastolic abnormalities are prevalent in TID patients, irrespective of disease duration.
    • Findings highlight the importance of monitoring diastolic function in TID management.
    • The stability of LVDD suggests potential for early intervention strategies.