Abstract

Diastolic dysfunction is a common complication of diabetic cardiomyopathy, and it is often present in patients with type 2 diabetes, even in the absence of systolic ventricular failure. Tissue Doppler imaging is a valuable technique for detecting subclinical diastolic dysfunction. Early diagnosis of diastolic dysfunction is crucial for timely intervention and prevention of long-term cardiovascular complications. The Tissue Doppler method, combined with 2nd ECHO, was used to examine diastolic dysfunction in diabetics and non-diabetics. Material and methods: A total of 129 subjects (case) with type 2 diabetes were compared with 333 non-diabetic subjects. 2D-ECHO including Tissue Doppler method was performed to assess left ventricular diastolic function. Results: 76% from diabetic group had diastolic dysfunction, and 3.3% in non-diabetic group had diastolic dysfunction (P < 0.05).We found mitral valve and tricuspid valve regurgitation, aortic valve stenosis and LVH was more common among diabetics compared to non-diabetics (p<0.05).We found LV diastolic dysfunction, PAH (Pulmonary arterial hypertension) and PE (Pulmonary embolism) was more common among diabetics compared to non-diabetics (p<0.05). Conclusion: In the current investigation, the overall prevalence of diastolic dysfunction in asymptomatic type 2 diabetes patients was 76%. When comparing asymptomatic type 2 diabetes to healthy individuals, diastolic dysfunction was far more common. When diabetic individuals are thought to have healthy hearts, routine screening for diastolic dysfunction may be justified by the use of tissue Doppler imaging

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