Left Ventricular Function in Patients with Diabetes Mellitus
The left ventricular function was assessed in 70 diabetics under 60 years of age without clinically evident heart disease using established non-invasive methods, these include systolic time interval method and echocardiography. The ratio of pre-ejection period to left ventricular ejection time (PEP/...
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| Veröffentlicht in: | Japanese Journal of Medicine 1984, Vol.23(1), pp.34-38 |
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| container_title | Japanese Journal of Medicine |
| container_volume | 23 |
| creator | SASAKAWA, Osamu FUJII, Satoru NOGI, Osamu SHIMURA, Masahiko KOMORI, TADAMITSU SEKI, Junichi WADA, Masahisa |
| description | The left ventricular function was assessed in 70 diabetics under 60 years of age without clinically evident heart disease using established non-invasive methods, these include systolic time interval method and echocardiography. The ratio of pre-ejection period to left ventricular ejection time (PEP/ET) was remarkably elevated in diabetics with severe microangiopathy (0.431±0.037). Even in diabetics without microangiopathy PEP/ET ratio was significantly higher (0.374±0.037) compared with that in controls(0.331±0.023, P |
| doi_str_mv | 10.2169/internalmedicine1962.23.34 |
| format | Article |
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The ratio of pre-ejection period to left ventricular ejection time (PEP/ET) was remarkably elevated in diabetics with severe microangiopathy (0.431±0.037). Even in diabetics without microangiopathy PEP/ET ratio was significantly higher (0.374±0.037) compared with that in controls(0.331±0.023, P<0.01). Most of diabetics with a PEP/ET value of higher than 0.40 were not under proper care with regard to diabetic control. A tendency toward normalization of PEP/ET values was often observed with the improvement in diabetic control during six to twelve months among the inadequately controlled diabetics. Isovolumic relaxation time in diabetics was longer than in controls (80±14 msec, 59±11 msec, P<0.005). Our results suggest that abnormalities of left ventricular function in diabetics maybe related to not only severity of microangiopathy but also the state of diabetic control. The maintenance of adequate control of diabetes seems to play an important role in the prevention of congestive heart failure in patients with diabetes mellitus.</description><identifier>ISSN: 0021-5120</identifier><identifier>EISSN: 1881-123X</identifier><identifier>DOI: 10.2169/internalmedicine1962.23.34</identifier><identifier>PMID: 6748349</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Adolescent ; Adult ; Blood Glucose - analysis ; Diabetes Mellitus - blood ; Diabetes Mellitus - physiopathology ; Diabetic Angiopathies - physiopathology ; Diabetic complication ; Echocardiography ; Female ; Heart - physiopathology ; Heart Ventricles - physiopathology ; Humans ; Male ; Middle Aged ; Stroke Volume ; Systole ; Systolic time interval</subject><ispartof>Japanese Journal of Medicine, 1984, Vol.23(1), pp.34-38</ispartof><rights>The Japanese Society of Internal Medicine</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-a4b0f5b0733493431c23d856db4fd47dd16c4349c0915909784b2812fd0b64cb3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6748349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SASAKAWA, Osamu</creatorcontrib><creatorcontrib>FUJII, Satoru</creatorcontrib><creatorcontrib>NOGI, Osamu</creatorcontrib><creatorcontrib>SHIMURA, Masahiko</creatorcontrib><creatorcontrib>KOMORI, TADAMITSU</creatorcontrib><creatorcontrib>SEKI, Junichi</creatorcontrib><creatorcontrib>WADA, Masahisa</creatorcontrib><title>Left Ventricular Function in Patients with Diabetes Mellitus</title><title>Japanese Journal of Medicine</title><addtitle>Japanese Journal of Medicine</addtitle><description>The left ventricular function was assessed in 70 diabetics under 60 years of age without clinically evident heart disease using established non-invasive methods, these include systolic time interval method and echocardiography. The ratio of pre-ejection period to left ventricular ejection time (PEP/ET) was remarkably elevated in diabetics with severe microangiopathy (0.431±0.037). Even in diabetics without microangiopathy PEP/ET ratio was significantly higher (0.374±0.037) compared with that in controls(0.331±0.023, P<0.01). Most of diabetics with a PEP/ET value of higher than 0.40 were not under proper care with regard to diabetic control. A tendency toward normalization of PEP/ET values was often observed with the improvement in diabetic control during six to twelve months among the inadequately controlled diabetics. Isovolumic relaxation time in diabetics was longer than in controls (80±14 msec, 59±11 msec, P<0.005). Our results suggest that abnormalities of left ventricular function in diabetics maybe related to not only severity of microangiopathy but also the state of diabetic control. The maintenance of adequate control of diabetes seems to play an important role in the prevention of congestive heart failure in patients with diabetes mellitus.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Blood Glucose - analysis</subject><subject>Diabetes Mellitus - blood</subject><subject>Diabetes Mellitus - physiopathology</subject><subject>Diabetic Angiopathies - physiopathology</subject><subject>Diabetic complication</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Heart - physiopathology</subject><subject>Heart Ventricles - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Stroke Volume</subject><subject>Systole</subject><subject>Systolic time interval</subject><issn>0021-5120</issn><issn>1881-123X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEFLAzEQhYMotVZ_grB48LY1k2R3s-JFqlWhUg8q3kI2m7Up27QmWcR_b8qWnhSGmcP3Zt7wELoAPCaQl1fGBu2sbFe6NspYDWVOxoSOKTtAQ-AcUiD04xANMSaQZkDwMTrxfokxywknAzTIC8YpK4foZqabkLxrG5xRXStdMu2sCmZtE2OTFxlMRD75NmGR3BlZ6aB98qzb1oTOn6KjRrZen-3mCL1N718nj-ls_vA0uZ2limUkpJJVuMkqXNBoSRkFRWjNs7yuWFOzoq4hVywihUvISlwWnFWEA2lqXOVMVXSELvu7G7f-6rQPYmW8ik9Iq9edFxxgWzgKr3uhcmvvnW7ExpmVdD8CsNhGJ_6KThAq4lsjdL5z6aqI96u7rCKf93zpg_zUey5dMKrV_56GvlG2V6qFdEJb-gseoowW</recordid><startdate>19840101</startdate><enddate>19840101</enddate><creator>SASAKAWA, Osamu</creator><creator>FUJII, Satoru</creator><creator>NOGI, Osamu</creator><creator>SHIMURA, Masahiko</creator><creator>KOMORI, TADAMITSU</creator><creator>SEKI, Junichi</creator><creator>WADA, Masahisa</creator><general>The Japanese Society of Internal Medicine</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>19840101</creationdate><title>Left Ventricular Function in Patients with Diabetes Mellitus</title><author>SASAKAWA, Osamu ; FUJII, Satoru ; NOGI, Osamu ; SHIMURA, Masahiko ; KOMORI, TADAMITSU ; SEKI, Junichi ; WADA, Masahisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-a4b0f5b0733493431c23d856db4fd47dd16c4349c0915909784b2812fd0b64cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Blood Glucose - analysis</topic><topic>Diabetes Mellitus - blood</topic><topic>Diabetes Mellitus - physiopathology</topic><topic>Diabetic Angiopathies - physiopathology</topic><topic>Diabetic complication</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Heart - physiopathology</topic><topic>Heart Ventricles - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Stroke Volume</topic><topic>Systole</topic><topic>Systolic time interval</topic><toplevel>online_resources</toplevel><creatorcontrib>SASAKAWA, Osamu</creatorcontrib><creatorcontrib>FUJII, Satoru</creatorcontrib><creatorcontrib>NOGI, Osamu</creatorcontrib><creatorcontrib>SHIMURA, Masahiko</creatorcontrib><creatorcontrib>KOMORI, TADAMITSU</creatorcontrib><creatorcontrib>SEKI, Junichi</creatorcontrib><creatorcontrib>WADA, Masahisa</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>Japanese Journal of Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SASAKAWA, Osamu</au><au>FUJII, Satoru</au><au>NOGI, Osamu</au><au>SHIMURA, Masahiko</au><au>KOMORI, TADAMITSU</au><au>SEKI, Junichi</au><au>WADA, Masahisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Left Ventricular Function in Patients with Diabetes Mellitus</atitle><jtitle>Japanese Journal of Medicine</jtitle><addtitle>Japanese Journal of Medicine</addtitle><date>1984-01-01</date><risdate>1984</risdate><volume>23</volume><issue>1</issue><spage>34</spage><epage>38</epage><pages>34-38</pages><issn>0021-5120</issn><eissn>1881-123X</eissn><abstract>The left ventricular function was assessed in 70 diabetics under 60 years of age without clinically evident heart disease using established non-invasive methods, these include systolic time interval method and echocardiography. The ratio of pre-ejection period to left ventricular ejection time (PEP/ET) was remarkably elevated in diabetics with severe microangiopathy (0.431±0.037). Even in diabetics without microangiopathy PEP/ET ratio was significantly higher (0.374±0.037) compared with that in controls(0.331±0.023, P<0.01). Most of diabetics with a PEP/ET value of higher than 0.40 were not under proper care with regard to diabetic control. A tendency toward normalization of PEP/ET values was often observed with the improvement in diabetic control during six to twelve months among the inadequately controlled diabetics. Isovolumic relaxation time in diabetics was longer than in controls (80±14 msec, 59±11 msec, P<0.005). Our results suggest that abnormalities of left ventricular function in diabetics maybe related to not only severity of microangiopathy but also the state of diabetic control. The maintenance of adequate control of diabetes seems to play an important role in the prevention of congestive heart failure in patients with diabetes mellitus.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>6748349</pmid><doi>10.2169/internalmedicine1962.23.34</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Japanese Journal of Medicine, 1984, Vol.23(1), pp.34-38 |
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| source | J-STAGE Free; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Blood Glucose - analysis Diabetes Mellitus - blood Diabetes Mellitus - physiopathology Diabetic Angiopathies - physiopathology Diabetic complication Echocardiography Female Heart - physiopathology Heart Ventricles - physiopathology Humans Male Middle Aged Stroke Volume Systole Systolic time interval |
| title | Left Ventricular Function in Patients with Diabetes Mellitus |
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