Diastolicheskaya disfunktsiya levogo zheludochka u bol'nykh sakharnym diabetom 2 tipa
https://doi.org/10.14341/2072-0351-5944
Abstract
МАУ считался положительным при наличии альбумина в
двух порциях. Статистическая обработка результатов исследования осуществлялась с помощью пакета прикладных программ Statistika 6. Результаты. Уровень гликозилированного гемоглобина и гликемии натощак статистически значимо не различались между подгруппами больных с нормальной и нарушенной диастолической функцией ЛЖ. у пациентов с нарушением диастолической функции ЛЖ значительно чаще выявлялись микрососудистые осложнений СД. Заключение. У большинства больных СД 2 и АГ имеются ранние доклинические нарушения функции ЛЖ ? диастолическая дисфункция ЛЖ. Распространенность ДДЛЖ в указанной группе пациентов составила 85% по данным ТДВ, из которых 68% больных имели нарушение расслабления ЛЖ; у 32% больных обнаруживалась стадия псевдонормализации. Выраженность ЭхоКГ признаков ДДЛЖ зависела от длительности СД 2 и наличия микрососудистых осложнений, а также от уровня АД, МАУ и гипертрофии ЛЖ. Не отмечено какой-либо взаимосвязи между показателями диастолической функции ЛЖ и длительностью АД или уровнем гликированного гемоглобина.
About the Authors
Alexander Sergeevich AmetovRussian Federation
E V Sokareva
Russian Federation
S R Gilyarevskiy
Russian Federation
T E Dikova
Russian Federation
References
1. Boyer J.K., Thanigaraj S., Schechtman K.B., Peґrez J.E. Prevalence of Ventricular Diastolic Dysfunction in Asymptomatic, Normotensive Patients With Diabetes Melli-tus. Am J Cardiol 2004; 93: 870-875.
2. Mogensen CE, Vestbo E, Poulsen PL, Christiansen C, Damsgaard EM, Eiskjaer H, Froland A, Hansen KW, Nielsen S, Pedersen MM. Microalbuminuria and potential confounders: a review and some observations on variability of urinary albumin excre-tion. Diabetes Care 1995;18:572-581
3. European Diabetes Policy Group: A desktop guide to type 2 diabetes. Diabet Med 16:416-730, 1999
4. Palecek T, Linhart A. Comparison of early diastolic annular velocities measured at various sites of mitral annulus in detection of mild to moderate left ventricular dia-stolic dysfunction. Heart Vessels. 2007 Mar;22(2):67-72.
5. Bell DS. Diabetic cardiomyopathy: a unique entity or a complication of coronary artery disease? Diabetes Care 1995;18:708-714
6. Poirier P, Bogaty P, Garneau C, Marois L, Dumesnil JG. Diastolic dysfunction in normotensive men with well-controlled type 2 diabetes: importance of maneuvers in echocardiographic screening for preclinical diabetic cardiomyopathy. Diabetes Care 2001;24:5-10
7. Zabalgoitia M, Ismaeil MF, Anderson L, Maklady FA. Prevalence of diastolic dysfunction in normotensive, asymptomatic patients with well-controlled type 2 diabetes mellitus. Am J Cardiol 2001;87(3):320-3.
8. Gough SC, Smyllie J, Barker M, Berkin KE, Rice PJ, Grant PJ. Diastolic dysfunc-tion is not related to changes in glycaemic control over 6 months in type 2 (non-insulin-dependent) diabetes mellitus: a cross-sectional study. Acta Diabetol 1995;32:110 -115
9. Attali JR, Sachs RN, Valensi P, Palsky D, Tellier P, Vulpillat M, Lanfranchi J, Sebaoun J. Asymptomatic diabetic cardiomyopathy: a noninvasive study. Diabetes Res Clin Pract 1988;4:183-190
10. Robillon JF, Sadoul JL, Jullien D, Morand P, Freychet P. Abnormalities sugges-tive of cardiomyopathy in patients with type 2 diabetes of relatively short duration. Diabetes Metab 1994;20:473-480
11. N. H. Andersen, S. H. Poulsen, P. L. Poulsen, S. T. Knudsen, K. Helleberg, K. W. Hansen, T. J. Berg, A. Flyvbjerg, C. E. Mogensen. Left ventricular dysfunction in hypertensive patients with Type 2 diabetes mellitus Diabetic Medicine 2005;22(9),1218-1225
12. Davidson MB. Metabolic syndrome/insulin resistance syndrome/prediabetes: new section in diabetes care. Diabetes Care 2003;26(11):3179
13. Hiramatsu K, Ohara N, Shigematsu S, Aizawa T, Ishihara F, Niwa A, Yamada T, Naka M, Momose A, Yoshizawa K. Left ventricular filling abnormalities in non-insulin-dependent diabetes mellitus and improvement by a short-term glycemic con-trol. Am J Cardiol 1992;70:1185- 1189
14. Sharma V, McNeill JH. Diabetic cardiomyopathy: where are we 40 years later? Can J Cardiol. 2006 Mar 15;22(4):305-8
15. Iribarren, C., Karter, A. J., Go, A. S. et al. Glycemic control and heart failure among adult patients with diabetes. Circulation 2001;103,2668-2673
16. Bertoni AG, Tsai A, Kasper EK, Brancati FL. Diabetes and idiopathic cardiomy-opathy: a nationwide case-control study. Diabetes Care 2003;26(10):2791-5.
17. Holzmann M, Olsson A, Johansson J, Jensen-Urstad M. Left ventricular diastolic function is related to glucose in a middle-aged population. J Intern Med 2002;251(5):415-20
18. Grandi AM, Piantanida E, Franzetti I, Bernasconi M, Maresca A, Marnini P, et al. Effect of glycemic control on the left ventricular diastolic function in type 1 diabetes mellitus. Am J Cardiol 2006;97:17-76
19. Hirai J, Ueda K, Takegoshi T, Mabuchi H. Effects of metabolic control on ven-tricular function in type 2 diabetic patients. Intern Med 1992;31:725-730
20. Beljic T, Miric M. Improved metabolic control does not reverse left ventricular filling abnormalities in newly diagnosed non-insulin-dependent diabetes patients. Acta Diabetol 1994;31:47-150
21. Sanchez-Barriga JJ, Rangel A, Castaneda R, Flores D, Frati AC, Ramos MA, et al. Left ventricular diastolic dysfunction secondary to hyperglycemia in patients with type II diabetes. Arch Med Res 2001;32(1):44-7
22. Vinereanu D, Nicolaides E, Tweddel Ann C. Subclinical left ventricular dysfunc-tion in asymptomatic patients with Type II diabetes mellitus, related to serum lipids and glycated haemoglobin. Clinical Science 2003;105:591-599
23. N. H. Andersen, S. H. Poulsen, H. Eiskjer, P. L. Poulsen, C. E. Mogensen. De-creased left ventricular longitudinal contraction in normotensive and normoalbuminu-ric patients with Type II diabetes mellitus: a Doppler tissue tracking and strain rate echocardiography study. Clinical Science 2003;105:59-66
24. Liu JE, Robbins DC, Palmieri V, Bella JN, Roman MJ, Fabsitz R, Howard BV, Welty TK, Lee ET, Devereux RB. Association of albuminuria with systolic and dia-stolic left ventricular dysfunction in type 2 diabetes: the Strong Heart Study. J Am Coll Cardiol. 2003 Jun 4;41(11):2022-8.
25. C Tsioufis, C Stefanadis, M Toutouza, I Kallikazaros, K Toutouzas, D Tousoulis, C Pitsavos, V Papademetriou, P Toutouzas. Microalbuminuria is associated with unfavourable cardiac geometric adaptations in essential hypertensive subjects. J Hum Hypertens. 2002;16(4):249-54
26. Picca M, Agozzino F, Pelosi G. Influence of microalbuminuria on left ventricular geometry and function in hypertensive patients with type 2 diabetes mellitus. Ital Heart J. 2003;4(1):48-52.
Review
For citations:
Ametov A.S., Sokareva E.V., Gilyarevskiy S.R., Dikova T.E. Diastolicheskaya disfunktsiya levogo zheludochka u bol'nykh sakharnym diabetom 2 tipa. Diabetes mellitus. 2008;11(1):40-44. (In Russ.) https://doi.org/10.14341/2072-0351-5944

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