Rapid Response

Diabetic Cardiomyopathy Is Common, but How to Best Detect and Manage It Remains Unclear

Authors: Stephen M. Twigg

Abstract

Diabetic Cardiomyopathy Is Common, but How to Best Detect and Manage It Remains Unclear


The main cause of death in diabetics is cardiovascular disease. Pathogenic factors are a combination of coronary artery disease causing myocardial ischemia; systemic hypertension; and diabetic cardiomyopathy (DCM) leading to global ventricular dysfunction. The research by Dr. Ha and colleagues reveals that a standardized echocardiography exercise stress test utilizing subtle measures of systolic and diastolic myocardial function can sensitively detect subclinical DCM. Clinical studies are now required to determine which therapies can treat DCM and thus help prevent overt heart failure.

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