Resumo

GONZALEZ FERNANDEZ, Pedro; OZORES SUAREZ, Javier  e  GUTIERREZ GIL, Joel. Echocardiographic findings in children and adolescents with type 1 diabetes mellitus. Rev Cubana Endocrinol [online]. 2013, vol.24, n.2, pp. 176-187. ISSN 1561-2953.

Introduction: cardiovascular complications can emerge at early ages in patients with type 1 diabetes mellitus. Objective: to identify alterations in ventricle function of children and adolescents with type 1 diabetes mellitus. Methods: a cross-sectional study was conducted in 52 children and adolescents (28 males and 24 females) diagnosed with type 1 diabetes mellitus, aged 2 to 8 years and in 44 non-diabetic subjects (22 males and 22 females) with ages similar to those of the study group. They had been all seen at the endocrinology service of "William Soler" pediatric teaching hospital February 2010 to August 2011 and they were all performed echocardiographic exams using Aloka 5500 equipment and 3,5 and 5 MHz transducers. Results: there were significant differences in the diastolic function of both ventricles as well as in the systolic function of the right ventricle of patients with type 1 diabetes mellitus in comparison with the controls. Likewise, there was a reversely significant relation with the diastolic function variable of the right ventricle, the length of progression and the ages at diagnosis of type 1 diabetes mellitus. Conclusions: the alterations in the diastolic and systolic functions compatible with diabetic myocardiopathy are present in children and adolescents with type 1 diabetes mellitus more frequently than in the control group, all of which could be related to the increase in the number of hormones in puberty and the association with autosomal cardiovascular neuropathy.

Palavras-chave : diabetic myocardiopathy; cardiovascular complications; type 1 diabetes mellitus; ventricular function; diabetic children and adolescents.

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