在2型糖尿病患者的常压患者中,左心室透气功能障碍的患病率
Harsha Anie Mathew1, C A Jayashankar2, Sridhar Srinivasan2
1Department of General Medicine, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India.
Annals of African medicine
|June 2, 2025
概括
左心室扩张功能障碍 (LVDD) 在2型糖尿病 (DM) 中很常见. 使用多普勒回声心脏图的早期检测对于预防糖尿病患者心血管并发症至关重要.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 糖尿病学 糖尿病学
背景情况:
- 全球2型糖尿病 (DM) 的患病率正在上升.
- 心血管疾病是糖尿病患者死亡的主要原因.
- 糖尿病心肌病是心力衰竭的前体,早期表现为左心室扩张功能障碍 (LVDD).
研究的目的:
- 为了评估2型DM的正常血压患者的LVDD.
- 为了将LVDD严重程度与血糖控制 (HbA1c) 相关联.
主要方法:
- 对130名没有高血压的2型DM患者进行前性观察研究.
- 多普勒回声心电图用于左心室功能评估.
- 用于评估血糖控制的HbA1c测量.
主要成果:
- 55.4%的患者表现出LVDD.
- LVDD显示了与修正的QT持续时间 (QTc),减速时间和E/e比率的显著正相关性.
- HbA1c水平与LVDD没有显著的相关性.
结论:
- 在2型糖尿病中,LVDD非常普遍,有助于发病率和死亡率.
- 通过多普勒心声扫描早期发现糖尿病心肌病症对于治疗干预至关重要.
- 这有助于制定风险分层策略,以改善患者的治疗结果.
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