Journal of Cardiovascular Echography

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 32  |  Issue : 2  |  Page : 95--106

Subclinical impairment of left ventricular function assessed by speckle tracking in Type 2 diabetic obese and non-obese patients: Case control study


Hala Gouda Abomandour1, Ahmed Mahmoud Elnagar2, Mohamed Wafaie Aboleineen1, Islam Elsayed Shehata1 
1 Department of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt
2 Department of Cardiology, Ahmed Maher Teaching Hospital, Cairo, Egypt

Correspondence Address:
Islam Elsayed Shehata
Department of Cardiology, Faculty of Medicine, Zagazig University, Zagazig 44519
Egypt

Objectives: Type 2 diabetes mellitus (DM) and obesity are an independent risk factor for cardiovascular diseases, so early prediction of LV dysfunction carries better prognosis. So our aim was to assess the subclinical LV dysfunction in type 2 diabetic obese and non-obese patients using two-dimensional speckle tracking echocardiography (2DSTE). Materials and Methods: We studied 93 patients, including two groups of 31 each with type 2 diabetes mellitus (T2DM), divided by body mass index (BMI), and 31 non-diabetic non-obese controls. All these subjects underwent two-dimensional Echo (2DE) imaging with analysis of conventional parameters of systolic and diastolic function, as well as speckle tracking echocardiography (STE) analysis of LV global and regional longitudinal strain. Results: We reported significant inter-group differences in parameters of diastolic function, but no significant differences in ejection fraction or fractional shortening. Nevertheless, we found significant differences in strain, which we interpreted as evidence of subclinical systolic dysfunction. Conclusion: 2DSTE is better than basic echocardiographic measurements in assessment of subclinical LV dysfunction in type 2 diabetic obese and non-obese patients which can be used to predict cardiomyopathic changes in the earlier course of type 2 DM and start earlier treatment with better prognosis.


How to cite this article:
Abomandour HG, Elnagar AM, Aboleineen MW, Shehata IE. Subclinical impairment of left ventricular function assessed by speckle tracking in Type 2 diabetic obese and non-obese patients: Case control study.J Cardiovasc Echography 2022;32:95-106


How to cite this URL:
Abomandour HG, Elnagar AM, Aboleineen MW, Shehata IE. Subclinical impairment of left ventricular function assessed by speckle tracking in Type 2 diabetic obese and non-obese patients: Case control study. J Cardiovasc Echography [serial online] 2022 [cited 2022 Sep 28 ];32:95-106
Available from: https://www.jcecho.org/article.asp?issn=2211-4122;year=2022;volume=32;issue=2;spage=95;epage=106;aulast=Abomandour;type=0