Presence of biventricular dysfunction in patients with type II diabetes mellitus.

Mohammad Reza Movahed, Norah Milne

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Diabetes mellitus (DM) has been found to be associated with depressed left ventricular (LV) function. Right ventricular (RV) function in DM patients, however, has not been well studied. The goal of this study was to evaluate the occurrence of LV and RV dysfunction in patients with DM. A series of 157 patients underwent simultaneous measurement of LV ejection fraction (LVEF) and RV ejection fraction (RVEF). Four of 26 DM patients had RVEF <30% (15.4%) vs 4 of 126 controls (3.2%) (P=.01). Eleven of 27 (40.7%) patients with DM had LVEF <30% vs 9 of 128 controls (7%) (P<.0001). Using multivariate analysis, DM remained independently associated with severely decreased biventricular function (RVEF <30%; odds ratio, 5.7; confidence interval, 1.3-25.4 [P=.02] and LVEF <30%; odds ratio, 12.9; confidence interval, 3.8-43.7 [P<.0001]). These results suggest that diabetic cardiomyopathy involves both ventricles as an independent pathologic process.

Original languageEnglish (US)
Pages (from-to)78-80
Number of pages3
JournalCongestive heart failure (Greenwich, Conn.)
Volume13
Issue number2
DOIs
StatePublished - 2007
Externally publishedYes

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine

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