Left ventricular dysfunction in diabetes mellitus echocardiographic study

Abstract EN

Diabetes mellitus induces a pattern of myocardial pathology known as a specific diabetic cardiomyopathy and to evaluate the presence of this phenomenon we measured various parameters of left ventricular function by echocardiography as it is available in merjan teaching hospital, and these parameters including : 1.

Ejection fraction 2.

Fractional shortening 3.

Inter-ventricular septal thickness 4.

Posterior left ventricular wall thickness The results of our study show that diabetic patients have left ventricular dysfunction as compared with control group by a reduction in EF and FS and increase in the thickness of (IVS) and (pw) of the left ventricle.

(The results are statistically significant, P < 0.005).

Although patients with non-insulin dependent diabetes developed left ventricular dysfunction more than patients with insulin dependent diabetes and female patients are more affected than male patients especially in NIDDM ( the difference is statistically not significant, P > 0.1).

LVD occurs more frequently with prolonged duration of the disease in both types of diabetes (the difference is statistically not significant, P > 0.1).

Abbreviations LVD left ventricular dysfunction DM Diabetes Mellitus IDDM Insulin dependent diabetes mellitus NIDDM Non-insulin dependent diabetes mellitus EF Ejection fraction FS Fractional shortening IVS Inter-ventricular septum PW Posterior wall of left ventricle ESV End systolic volume EDV End diastolic volume LVIDS Left ventricular internal dimension at end systole LVIDD Left ventricular internal dimension at end diastole.