Subclinical left ventricular systolic and diastolic dysfunction in type 1 diabetic children and adolescents with good metabolic control

Objective Cardiac dysfunction is a well‐known consequence of diabetes mellitus. This study was designed to assess whether type 1 diabetic children and adolescents with good metabolic control have early echocardiographic signs of subclinical left ventricular dysfunction and whether diabetes duration...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2018-02, Vol.35 (2), p.227-233
Main Authors: Yoldaş, Tamer, Örün, Utku Arman, Sagsak, Elif, Aycan, Zehra, Kaya, Özkan, Özgür, Senem, Karademir, Selmin
Format: Article
Language:English
Subjects:
2D strain
Adolescent
Child
Child, Preschool
Cross-Sectional Studies
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - physiopathology
Diastole
Echocardiography - methods
Female
Humans
Male
myocardial function
Prospective Studies
Reproducibility of Results
Systole
tissue Doppler imaging
type 1 diabetes
Ventricular Dysfunction, Left - complications
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular Dysfunction, Left - physiopathology
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Summary:Objective Cardiac dysfunction is a well‐known consequence of diabetes mellitus. This study was designed to assess whether type 1 diabetic children and adolescents with good metabolic control have early echocardiographic signs of subclinical left ventricular dysfunction and whether diabetes duration has any influence, using conventional and nonconventional echocardiographic tools. Methods A total of 100 patients with type 1 diabetes mellitus and 80 gender‐ and age‐matched healthy controls were included. The cases underwent standard conventional transthoracic echocardiography, tissue Doppler imaging, and two‐dimensional speckle tracking echocardiography. None of the diabetic patients had signs of renal, retinal, or neurological complications of the disease, and all were good metabolic control (mean HbA1c
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.13764