Echocardiographic Evaluation of Left Ventricular Functions According to the Degree of Glycemic Control in Children with Type-1 Diabetes Mellitus

Aim: The aim of the study was the evaluation of the effects of glycemic control on cardiac functions in children and adolescents diagnosed with Type-1 Diabetes Mellitus (DM).Materials and Methods: Children with Diabetes type-1 were divided into two groups as moderate-controlled (MC) and poorly-contr...

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Main Authors: Erman ÇİLSAL, Yılmaz KOR
Format: Article
Language:English
Published: Galenos Yayincilik 2020-12-01
Series:Namık Kemal Tıp Dergisi
Subjects:
Online Access: http://namikkemalmedj.com/archives/archive-detail/article-preview/echocardiographic-evaluation-of-left-ventricular-f/43256
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author Erman ÇİLSAL
Yılmaz KOR
author_facet Erman ÇİLSAL
Yılmaz KOR
author_sort Erman ÇİLSAL
collection DOAJ
description Aim: The aim of the study was the evaluation of the effects of glycemic control on cardiac functions in children and adolescents diagnosed with Type-1 Diabetes Mellitus (DM).Materials and Methods: Children with Diabetes type-1 were divided into two groups as moderate-controlled (MC) and poorly-controlled (PC) patients according to the glycemic control. The patients were evaluated in terms of conventional, 'pulsed' Doppler and tissue Doppler imaging (DDG) echocardiographic parameters for left ventricular systolic and diastolic function.Results: Thirty children were in the MC group, thirty children in the PC group and 30 in the control group. There were statistically significant differences between diabetic patients and control groups in terms of 'pulsed' and tissue Doppler echocardiographic parameters. Tissue Doppler parameters in the PC group showed, statistically significant elongation time of isovolumetric relaxation, isovolumetric contraction and significantly shortening time of ejection, as a result, a significant relationship was found between the left ventricle functions and metabolic control.Conclusion: Conventional and tissue Doppler echocardiography showed dysfunction of left ventricular function in children with type-1 DM. This study found that impairment of left ventricular diastolic functions may be directly related to glycemic control, and children with poor metabolic control have a higher risk of diabetic cardiomyopathy.
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spelling doaj.art-f309f6a75063464bbc5b4626de2ab2f82023-02-15T16:09:33ZengGalenos YayincilikNamık Kemal Tıp Dergisi2587-02622020-12-018339139710.37696/nkmj.72212613049054Echocardiographic Evaluation of Left Ventricular Functions According to the Degree of Glycemic Control in Children with Type-1 Diabetes MellitusErman ÇİLSAL0Yılmaz KOR1 İstanbul Sağlık Bilimleri Universitesi Mehmet Akif Ersoy Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, İstanbul, TÜRKİYE Pediatrik Endokrinoloji, Adana Sağlık bilimleri Üniversitesi Şehir Eğitim ve Araştırma Hastanesi, Adana, TÜRKİYE Aim: The aim of the study was the evaluation of the effects of glycemic control on cardiac functions in children and adolescents diagnosed with Type-1 Diabetes Mellitus (DM).Materials and Methods: Children with Diabetes type-1 were divided into two groups as moderate-controlled (MC) and poorly-controlled (PC) patients according to the glycemic control. The patients were evaluated in terms of conventional, 'pulsed' Doppler and tissue Doppler imaging (DDG) echocardiographic parameters for left ventricular systolic and diastolic function.Results: Thirty children were in the MC group, thirty children in the PC group and 30 in the control group. There were statistically significant differences between diabetic patients and control groups in terms of 'pulsed' and tissue Doppler echocardiographic parameters. Tissue Doppler parameters in the PC group showed, statistically significant elongation time of isovolumetric relaxation, isovolumetric contraction and significantly shortening time of ejection, as a result, a significant relationship was found between the left ventricle functions and metabolic control.Conclusion: Conventional and tissue Doppler echocardiography showed dysfunction of left ventricular function in children with type-1 DM. This study found that impairment of left ventricular diastolic functions may be directly related to glycemic control, and children with poor metabolic control have a higher risk of diabetic cardiomyopathy. http://namikkemalmedj.com/archives/archive-detail/article-preview/echocardiographic-evaluation-of-left-ventricular-f/43256 childrenhba1ctissue doppler imagingtype 1 diabetes mellitus
spellingShingle Erman ÇİLSAL
Yılmaz KOR
Echocardiographic Evaluation of Left Ventricular Functions According to the Degree of Glycemic Control in Children with Type-1 Diabetes Mellitus
Namık Kemal Tıp Dergisi
children
hba1c
tissue doppler imaging
type 1 diabetes mellitus
title Echocardiographic Evaluation of Left Ventricular Functions According to the Degree of Glycemic Control in Children with Type-1 Diabetes Mellitus
title_full Echocardiographic Evaluation of Left Ventricular Functions According to the Degree of Glycemic Control in Children with Type-1 Diabetes Mellitus
title_fullStr Echocardiographic Evaluation of Left Ventricular Functions According to the Degree of Glycemic Control in Children with Type-1 Diabetes Mellitus
title_full_unstemmed Echocardiographic Evaluation of Left Ventricular Functions According to the Degree of Glycemic Control in Children with Type-1 Diabetes Mellitus
title_short Echocardiographic Evaluation of Left Ventricular Functions According to the Degree of Glycemic Control in Children with Type-1 Diabetes Mellitus
title_sort echocardiographic evaluation of left ventricular functions according to the degree of glycemic control in children with type 1 diabetes mellitus
topic children
hba1c
tissue doppler imaging
type 1 diabetes mellitus
url http://namikkemalmedj.com/archives/archive-detail/article-preview/echocardiographic-evaluation-of-left-ventricular-f/43256
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AT yılmazkor echocardiographicevaluationofleftventricularfunctionsaccordingtothedegreeofglycemiccontrolinchildrenwithtype1diabetesmellitus