Methods for Ultrasound Screening of Cardiovascular Diseases in Type 2 Diabetic Patients

Diabetes mellitus is a chronic disorder that affects predominantly the carbohydrate metabolism, but also the biotransformation of proteins and fat. Many intra- and extracellular metabolic mechanisms are impaired which leads to structural changes in the vascular wall and the heart muscle. This eventu...

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Autores principales:	Kundurdzhiev A., Markova Alexandra
Formato:	article
Lenguaje:	EN
Publicado:	Sciendo 2018
Materias:	diabetes mellitus cardiovascular complications transthoracic echocardiography tissue doppler imaging intima-media thickness resistive index Medicine R
Acceso en línea:	https://doaj.org/article/54d80951d764452c84d985d6b66c4483
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spelling	oai:doaj.org-article:54d80951d764452c84d985d6b66c44832021-12-02T19:05:13ZMethods for Ultrasound Screening of Cardiovascular Diseases in Type 2 Diabetic Patients0324-175010.2478/amb-2018-0010https://doaj.org/article/54d80951d764452c84d985d6b66c44832018-03-01T00:00:00Zhttps://doi.org/10.2478/amb-2018-0010https://doaj.org/toc/0324-1750Diabetes mellitus is a chronic disorder that affects predominantly the carbohydrate metabolism, but also the biotransformation of proteins and fat. Many intra- and extracellular metabolic mechanisms are impaired which leads to structural changes in the vascular wall and the heart muscle. This eventually causes their functional deterioration and the end result is clinical manifestation of macrovascular incidents or heart failure. People with perturbations of the glucose metabolism (impaired fasting glucose, impaired glucose tolerance and insulin resistance) are also with a higher risk of cardiovascular diseases, even before the diagnosis of diabetes. Nowadays we have a cheap, easy and non-invasive method for early diagnosis of cardiovascular disorders, way before their clinical manifestation, and that is the ultrasound methodology. The echocardiography is a valuable technique for the detection of changes in the myocardial structure and its contractility. The tissue Doppler ultrasound is a more precise method that can detect the slightest aberrations in the heart muscle function, that could not be seen with the conventional echocardiography. Subclinical atherosclerotic changes can be determined with a Doppler scan of the big arteries (carotids, renal arteries), and the subsequent calculation of their resistive index and of the intima-media thickness. There are a lot of studies in this field which show that the structural and functional impairment could be diagnosed in diabetic patients without any complaints and with otherwise healthy hearts. This means that these diagnostic methods should be used in the routine clinical examination of every diabetic individual in order to predict and possibly prevent major cardiovascular events and severe heart failure.Kundurdzhiev A.Markova AlexandraSciendoarticlediabetes mellituscardiovascular complicationstransthoracic echocardiographytissue doppler imagingintima-media thicknessresistive indexMedicineRENActa Medica Bulgarica, Vol 45, Iss 1, Pp 50-54 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	diabetes mellitus cardiovascular complications transthoracic echocardiography tissue doppler imaging intima-media thickness resistive index Medicine R
spellingShingle	diabetes mellitus cardiovascular complications transthoracic echocardiography tissue doppler imaging intima-media thickness resistive index Medicine R Kundurdzhiev A. Markova Alexandra Methods for Ultrasound Screening of Cardiovascular Diseases in Type 2 Diabetic Patients
description	Diabetes mellitus is a chronic disorder that affects predominantly the carbohydrate metabolism, but also the biotransformation of proteins and fat. Many intra- and extracellular metabolic mechanisms are impaired which leads to structural changes in the vascular wall and the heart muscle. This eventually causes their functional deterioration and the end result is clinical manifestation of macrovascular incidents or heart failure. People with perturbations of the glucose metabolism (impaired fasting glucose, impaired glucose tolerance and insulin resistance) are also with a higher risk of cardiovascular diseases, even before the diagnosis of diabetes. Nowadays we have a cheap, easy and non-invasive method for early diagnosis of cardiovascular disorders, way before their clinical manifestation, and that is the ultrasound methodology. The echocardiography is a valuable technique for the detection of changes in the myocardial structure and its contractility. The tissue Doppler ultrasound is a more precise method that can detect the slightest aberrations in the heart muscle function, that could not be seen with the conventional echocardiography. Subclinical atherosclerotic changes can be determined with a Doppler scan of the big arteries (carotids, renal arteries), and the subsequent calculation of their resistive index and of the intima-media thickness. There are a lot of studies in this field which show that the structural and functional impairment could be diagnosed in diabetic patients without any complaints and with otherwise healthy hearts. This means that these diagnostic methods should be used in the routine clinical examination of every diabetic individual in order to predict and possibly prevent major cardiovascular events and severe heart failure.
format	article
author	Kundurdzhiev A. Markova Alexandra
author_facet	Kundurdzhiev A. Markova Alexandra
author_sort	Kundurdzhiev A.
title	Methods for Ultrasound Screening of Cardiovascular Diseases in Type 2 Diabetic Patients
title_short	Methods for Ultrasound Screening of Cardiovascular Diseases in Type 2 Diabetic Patients
title_full	Methods for Ultrasound Screening of Cardiovascular Diseases in Type 2 Diabetic Patients
title_fullStr	Methods for Ultrasound Screening of Cardiovascular Diseases in Type 2 Diabetic Patients
title_full_unstemmed	Methods for Ultrasound Screening of Cardiovascular Diseases in Type 2 Diabetic Patients
title_sort	methods for ultrasound screening of cardiovascular diseases in type 2 diabetic patients
publisher	Sciendo
publishDate	2018
url	https://doaj.org/article/54d80951d764452c84d985d6b66c4483
work_keys_str_mv	AT kundurdzhieva methodsforultrasoundscreeningofcardiovasculardiseasesintype2diabeticpatients AT markovaalexandra methodsforultrasoundscreeningofcardiovasculardiseasesintype2diabeticpatients
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Methods for Ultrasound Screening of Cardiovascular Diseases in Type 2 Diabetic Patients

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