Diabetic cardiomyopathy: classification, instrumental diagnostic methods
DOI:
https://doi.org/10.22141/2224-0721.16.7.2020.219012Keywords:
diabetes mellitus, diabetic cardiomyopathy, instrumental methods of diagnosis, reviewAbstract
This review presents the international classification, analyzes in detail modern instrumental methods for the diagnosis of diabetic cardiomyopathy. In particular, the analysis was carried out of the features and diagnostic criteria of echocardiography, conventional Doppler echocardiography, tissue Doppler imaging, intravenous echocardiography using second-generation contrast agents, Dоppler acoustic echocardiography, three-dimensional echocardiography, speckle tracking echocardiography, magnetic resonance imaging, cardiovascular magnetic resonance imaging, gradient echo magnetic resonance imaging, phase contrast magnetic resonance imaging, tagged magnetic resonance imaging, multi-slice computed tomography, radionuclide myocardial perfusion imaging using ECG-gated single-photon emission computed tomography and positron emission tomography. Diabetic cardiomyopathy occurs quite often and for a long time is asymptomatic, which requires dynamic monitoring and targeted examination for early diagnosis. There are a number of informative instrumental methods of examination, which significantly expand the diagnostic possibilities and in a particular situation provide an opportunity to get an adequate picture of the cardiovascular system. Pathogenetically, diabetic cardiomyopathy is a metabolic myocardial dystrophy associated with impaired cell energy supply, protein synthesis, electrolyte exchange, micronutrient metabolism, redox processes, oxygen transport function of the blood. A significant role in its formation belongs to microangiopathies and hormonal disorders. Patients predominantly have dystrophic changes in the myocardium, which are joined by microvascular lesions with the development of clinical manifestations of non-coronary (non-atherosclerotic) ischemic heart disease, the onset of myocardial infarction not associated with coronary heart disease of atherosclerotic origin.References
Downloads
Published
2020-10-01
Issue
Section
Literature Review
License
Copyright (c) 2020 A.A. Serhiyenko, V.A. Serhiyenko
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our edition uses the copyright terms of Creative Commons for open access journals.
Authors, who are published in this journal, agree with the following terms:
- The authors retain rights for authorship of their article and grant to the edition the right of first publication of the article on a Creative Commons Attribution 4.0 International License, which allows others to freely distribute the published article, with the obligatory reference to the authors of original works and original publication in this journal.
- Directing the article for the publication to the editorial board (publisher), the author agrees with transmitting of rights for the protection and using the article, including parts of the article, which are protected by the copyrights, such as the author’s photo, pictures, charts, tables, etc., including the reproduction in the media and the Internet; for distributing; for the translation of the manuscript in all languages; for export and import of the publications copies of the writers’ article to spread, bringing to the general information.
- The rights mentioned above authors transfer to the edition (publisher) for the unlimited period of validity and on the territory of all countries of the world.
- The authors guarantee that they have exclusive rights for using of the article, which they have sent to the edition (publisher). The edition (the publisher) is not responsible for the violation of given guarantees by the authors to the third parties.
- The authors have the right to conclude separate supplement agreements that relate to non-exclusive distribution of their article in the form in which it had been published in the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.
- The policy of the journal permits and encourages the publication of the article in the Internet (in institutional repository or on a personal website) by the authors, because it contributes to productive scientific discussion and a positive effect on efficiency and dynamics of the citation of the article.
