Vectorcardiographic evaluation of diabetic cardiomyopathy and of its contributing factors

In order to investigate the prevalence of vectorcardiographic bites, expression of small areas of fibrosis, atrophy or degeneration of the myocardium, we studied, using the vectorcardiograms (VCG) of 101 diabetic patients (35 with insulin-dependent and 66 with non-insulin-dependent diabetes mellitus...

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Bibliographic Details
Published in:Acta Diabetologica Latina 1988-07, Vol.25 (3), p.227-234
Main Authors: Vitolo, E, Madoi, S, Sponzilli, C, Palvarini, M, Silvestri, D, Castini, D, Morabito, A
Format: Article
Language:English
Subjects:
Adult
Cardiomyopathies - complications
Cardiomyopathies - physiopathology
Diabetes Complications
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - physiopathology
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - physiopathology
Diabetic Angiopathies - physiopathology
Electrocardiography
Female
Humans
Male
Middle Aged
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Summary:In order to investigate the prevalence of vectorcardiographic bites, expression of small areas of fibrosis, atrophy or degeneration of the myocardium, we studied, using the vectorcardiograms (VCG) of 101 diabetic patients (35 with insulin-dependent and 66 with non-insulin-dependent diabetes mellitus, aged from 25 to 60 years, without hypertension, coronary artery disease, or intraventricular conduction defects) and 228 normal control subjects, matched for age and sex. The prevalence of bites was 38.6% in diabetic patients and 10.0% in the control group (p less than 0.001). Diabetic patients were also subdivided into groups according to age, sex, metabolic control, risk factors for coronary heart disease, type of diabetes, duration of diabetes and diabetic microangiopathy. No correlation was found between any of the variables investigated nor of a combination of these, and the presence of bites. We conclude that VCG is a sensitive test for cardiac involvement in diabetic patients but that it cannot be used to identify any specific factor able to influence the onset and evolution of this involvement.
ISSN:0001-5563
2385-2631
1432-5233
DOI:10.1007/BF02624817