DIASTOLIC VENTRICULAR-FUNCTION IN TYPE-1 DIABETIC-PATIENTS - A STUDY USING DOPPLER ECHOCARDIOGRAPHY

被引:15
作者
GROSSMANN, G
SCHMIDT, A
HAUNER, H
GOLLER, V
STAUCH, M
PFEIFFER, EF
HOMBACH, V
机构
[1] Abteilung für Kardiologie, Medizinischen Klinik und Poliklinik, Universität Ulm
[2] Abteilung für Endokrinologie, Medizinischen Klinik und Poliklinik, Universität Ulm
[3] Abteilung Für Sportmedizin, Medizinischen Klinik Und Poliklinik, Universität Ulm
关键词
LEFT VENTRICULAR DIASTOLIC FUNCTION; DOPPLER ECHOCARDIOGRAPHY; TRANSMITRAL DIASTOLIC FLOW VELOCITY; TYPE-1; DIABETES;
D O I
10.1111/j.1464-5491.1991.tb01573.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The transmitral flow velocity pattern of 28 Type 1 diabetic patients and 39 age-matched healthy control subjects was studied for determination of left ventricular diastolic function. No patient had systemic hypertension, congestive heart failure, or ischaemic heart disease by clinical or electrocardiographic criteria. Echocardiographic measures of systolic ventricular function were within normal range in all subjects. The ratio of early to late transmitral peak flow velocity (V(e)/V(a)) was significantly decreased in the diabetic patients (1.3 +/- 0.1 (+/- SE) vs 1.6 +/- 0.1, p < 0.05), while other Doppler derived variables did not show any significant difference. No correlation of V(e)/V(a) with duration of diabetes was found (r = 0.27), but it correlated with age in both groups (both r = -0.40, p < 0.05). Furthermore, a significant correlation was found between V(e)/V(a) and heart rate (r = -0.55 for diabetic patients, p < 0.01; r = -0.58 for control subjects, p < 0.01). After matching for heart rate (24 diabetic patients and 24 control subjects) no significant decrease of V(e)/V(a) was observed in the diabetic group.
引用
收藏
页码:208 / 212
页数:5
相关论文
共 29 条
[1]  
Kannel WB, Hjortland M., Castelli WP, The role of diabetes in congestive heart failure: The Framingham study, Am J Cardiol, 34, pp. 29-34, (1974)
[2]  
Ahmed SS, Jaferi GA, Narang RM, Regan TJ, Preclinical abnormality of left ventricular function in diabetes mellitus, Am Heart J, 89, pp. 153-158, (1975)
[3]  
Mildenberger RR, Bar-Schlomo B., Druck MN, Et al., Clinically unrecognized ventricular dysfunction in young diabetic patients, J Am Coll Cardiol, 4, pp. 234-238, (1984)
[4]  
Shapiro LM, Leatherdale BA, Mackinnon J., Fletcher RF, Left ventricular function in diabetes mellitus II: Relation between clinical features and left ventricular function, Br Heart J, 45, pp. 129-132, (1981)
[5]  
Danielsen R., Nordrehaug JE, Lien E., Vik-Mo H., Subclinical left ventricular abnormalities in young subjects with long‐term type 1 diabetes mellitus detected by digitized M‐mode echocardiography, Am J Cardiol, 60, pp. 143-146, (1987)
[6]  
Kahn JK, Zola B., Juni JE, Vinik AI, Radionuclide assessment of left ventricular diastolic filling in diabetes mellitus with and without cardiac autonomic neuropathy, J Am Coll Cardiol, 7, pp. 1303-1309, (1986)
[7]  
Fisher BM, Gillen G., Ong-Tone L., Dargie HJ, Frier BM, Cardiac function and insulin‐dependent diabetes: Radionuclide ventriculography in young diabetics, Diabetic Med, 2, pp. 251-256, (1985)
[8]  
Goldweit RS, Borer JS, Jovanovic LG, Et al., Relation of hemoglobin A<sub>1</sub> and blood glucose to cardiac function in diabetes mellitus, Am J Cardiol, 56, pp. 642-646, (1985)
[9]  
Schmidt A., Hauner H., Grossmann G., Et al., Belastungsuntersuchung bei langjährigem Typ‐I‐Diabetes mit der Radionuklidventrikulographie, Klin Wochenschr, 67, pp. 496-501, (1989)
[10]  
Labovitz AJ, Pearson AC, Evaluation of left ventricular diastolic function: Clinical relevance and recent doppler echocardiographic insights, Am Heart J, 114, pp. 836-851, (1987)