Tissue Doppler imaging must be performed to detect early left ventricular dysfunction in patients with type 1 diabetes mellitus
Aims We sought to compare diastolic parameters in patients having type 1 diabetes mellitus (DM) and healthy controls using both pulse-wave (PW) Doppler and relatively novel tissue-Doppler imaging (TDI) to evaluate the possible effect of diabetes on left ventricular dysfunction. Methods and results O...
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| Veröffentlicht in: | European journal of echocardiography 2009-10, Vol.10 (7), p.841-846 |
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| creator | Gul, Kamile Celebi, Aksuyek Savas Kacmaz, Fehmi Ozcan, Ozlem Celebi Ustun, Ihsan Berker, Dilek Aydin, Yusuf Delibasi, Tuncay Guler, Serdar Barazi, Ayse Ozden |
| description | Aims
We sought to compare diastolic parameters in patients having type 1 diabetes mellitus (DM) and healthy controls using both pulse-wave (PW) Doppler and relatively novel tissue-Doppler imaging (TDI) to evaluate the possible effect of diabetes on left ventricular dysfunction.
Methods and results
One hundred and thirty-two patients were evaluated (81 type 1 diabetic patients and 51 healthy volunteers). The detailed M-mode, two-dimensional, colour Doppler; PW Doppler; and TDI analyses were performed on resting subjects in a regular setting. Posterior wall thickness, left atrial indexed diameter, and A velocity were significantly higher in the diabetics when compared with control group (P = 0.019, 0.05 for all). However, both septal E′ and lateral E′ velocities were significantly lower in diabetics than in the control subjects on TDI echocardiographic examination (P < 0.001 and 0.011, respectively). In addition, E′/septal E′ and E/lateral E′ ratios were significantly higher in the diabetic group (P < 0.001 and 0.008, respectively).
Conclusion
TDI is a more accurate and powerful method than PW or M-mode in determination of early cardiac involvement related to type 1 DM even in the subclinical phase as well as hereditary cardiomyopathies. |
| doi_str_mv | 10.1093/ejechocard/jep086 |
| format | Article |
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We sought to compare diastolic parameters in patients having type 1 diabetes mellitus (DM) and healthy controls using both pulse-wave (PW) Doppler and relatively novel tissue-Doppler imaging (TDI) to evaluate the possible effect of diabetes on left ventricular dysfunction.
Methods and results
One hundred and thirty-two patients were evaluated (81 type 1 diabetic patients and 51 healthy volunteers). The detailed M-mode, two-dimensional, colour Doppler; PW Doppler; and TDI analyses were performed on resting subjects in a regular setting. Posterior wall thickness, left atrial indexed diameter, and A velocity were significantly higher in the diabetics when compared with control group (P = 0.019, <0.001, 0.033, respectively). Rest of the M-mode and PW Doppler parameters of diabetics were comparable with those of control subjects (P > 0.05 for all). However, both septal E′ and lateral E′ velocities were significantly lower in diabetics than in the control subjects on TDI echocardiographic examination (P < 0.001 and 0.011, respectively). In addition, E′/septal E′ and E/lateral E′ ratios were significantly higher in the diabetic group (P < 0.001 and 0.008, respectively).
Conclusion
TDI is a more accurate and powerful method than PW or M-mode in determination of early cardiac involvement related to type 1 DM even in the subclinical phase as well as hereditary cardiomyopathies.</description><identifier>ISSN: 1525-2167</identifier><identifier>EISSN: 1532-2114</identifier><identifier>DOI: 10.1093/ejechocard/jep086</identifier><identifier>PMID: 19541667</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - physiopathology ; Diastole ; Echocardiography, Doppler ; Female ; Humans ; Male ; Ventricular Dysfunction, Left - diagnostic imaging ; Ventricular Dysfunction, Left - etiology ; Ventricular Dysfunction, Left - physiopathology</subject><ispartof>European journal of echocardiography, 2009-10, Vol.10 (7), p.841-846</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org 2009</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-dbce84426079f1d2f87377c06e48d77b28c2da31aff98cd4b42db458609fe0dc3</citedby><cites>FETCH-LOGICAL-c337t-dbce84426079f1d2f87377c06e48d77b28c2da31aff98cd4b42db458609fe0dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,1586,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19541667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gul, Kamile</creatorcontrib><creatorcontrib>Celebi, Aksuyek Savas</creatorcontrib><creatorcontrib>Kacmaz, Fehmi</creatorcontrib><creatorcontrib>Ozcan, Ozlem Celebi</creatorcontrib><creatorcontrib>Ustun, Ihsan</creatorcontrib><creatorcontrib>Berker, Dilek</creatorcontrib><creatorcontrib>Aydin, Yusuf</creatorcontrib><creatorcontrib>Delibasi, Tuncay</creatorcontrib><creatorcontrib>Guler, Serdar</creatorcontrib><creatorcontrib>Barazi, Ayse Ozden</creatorcontrib><title>Tissue Doppler imaging must be performed to detect early left ventricular dysfunction in patients with type 1 diabetes mellitus</title><title>European journal of echocardiography</title><addtitle>Eur J Echocardiogr</addtitle><description>Aims
We sought to compare diastolic parameters in patients having type 1 diabetes mellitus (DM) and healthy controls using both pulse-wave (PW) Doppler and relatively novel tissue-Doppler imaging (TDI) to evaluate the possible effect of diabetes on left ventricular dysfunction.
Methods and results
One hundred and thirty-two patients were evaluated (81 type 1 diabetic patients and 51 healthy volunteers). The detailed M-mode, two-dimensional, colour Doppler; PW Doppler; and TDI analyses were performed on resting subjects in a regular setting. Posterior wall thickness, left atrial indexed diameter, and A velocity were significantly higher in the diabetics when compared with control group (P = 0.019, <0.001, 0.033, respectively). Rest of the M-mode and PW Doppler parameters of diabetics were comparable with those of control subjects (P > 0.05 for all). However, both septal E′ and lateral E′ velocities were significantly lower in diabetics than in the control subjects on TDI echocardiographic examination (P < 0.001 and 0.011, respectively). In addition, E′/septal E′ and E/lateral E′ ratios were significantly higher in the diabetic group (P < 0.001 and 0.008, respectively).
Conclusion
TDI is a more accurate and powerful method than PW or M-mode in determination of early cardiac involvement related to type 1 DM even in the subclinical phase as well as hereditary cardiomyopathies.</description><subject>Adult</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - physiopathology</subject><subject>Diastole</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Ventricular Dysfunction, Left - diagnostic imaging</subject><subject>Ventricular Dysfunction, Left - etiology</subject><subject>Ventricular Dysfunction, Left - physiopathology</subject><issn>1525-2167</issn><issn>1532-2114</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkLtuFDEUhi0URC7wADTodGlYYo-99kyJEiBIkWhCPfLYx4lXM2PjS9BWvDqOdqW0qc4v_RcdfYR8ZPQLowO_wh2ax2B0slc7jLSXb8gZ2_Ju0zEmTp51t21aqlNynvOOUtZc8Y6csmErmJTqjPy79zlXhJsQ44wJ_KIf_PoAS80FJoSIyYW0oIUSwGJBUwB1mvcwoyvwhGtJ3tRZJ7D77Opqig8r-BWiLr65Gf768ghlHxEYWK-nNpJhwXn2peb35K3Tc8YPx3tBfn__dn99u7n79ePn9de7jeFclY2dDPZCdJKqwTHbuV5xpQyVKHqr1NT1prOaM-3c0BsrJtHZSWx7SQeH1Bp-QS4PuzGFPxVzGRefTXtCrxhqHhUXtBdS8pZkh6RJIeeEboypUUn7kdHxGfv4gn08YG-dT8f1OjVWL40j5xb4fAiEGl-x9x9vYpRw</recordid><startdate>200910</startdate><enddate>200910</enddate><creator>Gul, Kamile</creator><creator>Celebi, Aksuyek Savas</creator><creator>Kacmaz, Fehmi</creator><creator>Ozcan, Ozlem Celebi</creator><creator>Ustun, Ihsan</creator><creator>Berker, Dilek</creator><creator>Aydin, Yusuf</creator><creator>Delibasi, Tuncay</creator><creator>Guler, Serdar</creator><creator>Barazi, Ayse Ozden</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200910</creationdate><title>Tissue Doppler imaging must be performed to detect early left ventricular dysfunction in patients with type 1 diabetes mellitus</title><author>Gul, Kamile ; Celebi, Aksuyek Savas ; Kacmaz, Fehmi ; Ozcan, Ozlem Celebi ; Ustun, Ihsan ; Berker, Dilek ; Aydin, Yusuf ; Delibasi, Tuncay ; Guler, Serdar ; Barazi, Ayse Ozden</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-dbce84426079f1d2f87377c06e48d77b28c2da31aff98cd4b42db458609fe0dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 1 - physiopathology</topic><topic>Diastole</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Ventricular Dysfunction, Left - diagnostic imaging</topic><topic>Ventricular Dysfunction, Left - etiology</topic><topic>Ventricular Dysfunction, Left - physiopathology</topic><toplevel>online_resources</toplevel><creatorcontrib>Gul, Kamile</creatorcontrib><creatorcontrib>Celebi, Aksuyek Savas</creatorcontrib><creatorcontrib>Kacmaz, Fehmi</creatorcontrib><creatorcontrib>Ozcan, Ozlem Celebi</creatorcontrib><creatorcontrib>Ustun, Ihsan</creatorcontrib><creatorcontrib>Berker, Dilek</creatorcontrib><creatorcontrib>Aydin, Yusuf</creatorcontrib><creatorcontrib>Delibasi, Tuncay</creatorcontrib><creatorcontrib>Guler, Serdar</creatorcontrib><creatorcontrib>Barazi, Ayse Ozden</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of echocardiography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gul, Kamile</au><au>Celebi, Aksuyek Savas</au><au>Kacmaz, Fehmi</au><au>Ozcan, Ozlem Celebi</au><au>Ustun, Ihsan</au><au>Berker, Dilek</au><au>Aydin, Yusuf</au><au>Delibasi, Tuncay</au><au>Guler, Serdar</au><au>Barazi, Ayse Ozden</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tissue Doppler imaging must be performed to detect early left ventricular dysfunction in patients with type 1 diabetes mellitus</atitle><jtitle>European journal of echocardiography</jtitle><addtitle>Eur J Echocardiogr</addtitle><date>2009-10</date><risdate>2009</risdate><volume>10</volume><issue>7</issue><spage>841</spage><epage>846</epage><pages>841-846</pages><issn>1525-2167</issn><eissn>1532-2114</eissn><abstract>Aims
We sought to compare diastolic parameters in patients having type 1 diabetes mellitus (DM) and healthy controls using both pulse-wave (PW) Doppler and relatively novel tissue-Doppler imaging (TDI) to evaluate the possible effect of diabetes on left ventricular dysfunction.
Methods and results
One hundred and thirty-two patients were evaluated (81 type 1 diabetic patients and 51 healthy volunteers). The detailed M-mode, two-dimensional, colour Doppler; PW Doppler; and TDI analyses were performed on resting subjects in a regular setting. Posterior wall thickness, left atrial indexed diameter, and A velocity were significantly higher in the diabetics when compared with control group (P = 0.019, <0.001, 0.033, respectively). Rest of the M-mode and PW Doppler parameters of diabetics were comparable with those of control subjects (P > 0.05 for all). However, both septal E′ and lateral E′ velocities were significantly lower in diabetics than in the control subjects on TDI echocardiographic examination (P < 0.001 and 0.011, respectively). In addition, E′/septal E′ and E/lateral E′ ratios were significantly higher in the diabetic group (P < 0.001 and 0.008, respectively).
Conclusion
TDI is a more accurate and powerful method than PW or M-mode in determination of early cardiac involvement related to type 1 DM even in the subclinical phase as well as hereditary cardiomyopathies.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>19541667</pmid><doi>10.1093/ejechocard/jep086</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Adult Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - physiopathology Diastole Echocardiography, Doppler Female Humans Male Ventricular Dysfunction, Left - diagnostic imaging Ventricular Dysfunction, Left - etiology Ventricular Dysfunction, Left - physiopathology |
| title | Tissue Doppler imaging must be performed to detect early left ventricular dysfunction in patients with type 1 diabetes mellitus |
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