Revista Cubana de Endocrinología
On-line version ISSN 1561-2953
LICEA PUIG, Manuel; SINGH LINARES, Omar; MARTINEZ GARCIA, Rolando and DIAZ FELIZ, Ángel. Subclinical left ventricular dysfunction in type 1 diabetics with less than 10 years of evolution of diabetes. Rev Cubana Endocrinol [online]. 2001, vol.12, n.1, pp. 0-0. ISSN 1561-2953.
A cross-sectional study in 32 type l diabetics aged 17-40 with less than 10 years of evolution of the disease was conducted to know the frequency of subclinical left ventricular dysfunction (LVD) and its associated factors. Patients with valvulopathies, ischemic heart disease, arterial hypertension and other diseases causing myocardiopathies, were excluded. Complete medical histories were obtained and fasting glycemia, HbAl, total cholesterol, total triglycerides, HDL-cholesterol, urinary excretion of albumin (USA), velocity of motor and sensitive conduction of the lower limbs, EKG and mode B bidemensional pulsed Doppler echocardiography were indicated. The criteria proposed by the American Society of Echocardiography for the echocardiographic diagnosis of LVD were adopted. LVD was proved in 25 %. The structural cardiac alterations were observed in 6.2 %. Peripheral neuropathy was observed in 6 of the 8 patients with LVD. The US levels were significantly higher in those affected with LVD (219.5 ± 170.2 mg/L vs 6.9 ± 86.9 mg/L). It was concluded that LVD appears commonly among diabetics with less than 10 years of evolution and that the US levels may be a risk marker for the development of this complication.
Keywords : DIABETES MELLITUS, INSULIN-DEPENDENT [complications].