DIABETIC CARDIOMYOPATHY- A DISTINCT CLINICAL ENTITY?
Abstract:
Cardiovascular disease causes 60% of mortality in diabetics, especially due to heart failure. Diabetes mellitus is an independent risk factor for heart failure. The term “diabetic cardiomyopathy” was first used by Rubler and col. in 1972 and it suggests the direct injury of the myocardium caused by the presence of diabetes. This fact was initially controversial, because systolic and diastolic dysfunction may be due to coronary atherosclerosis, diabetic microangiopathy or to hypertension. The existence of diabetic cardiomyopathy has been confirmed lately by epidemiological, clinical and laboratory studies. Its understanding will allow a better therapeutic management in the future.
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