PMID- 24265250 OWN - NLM STAT- MEDLINE DCOM- 20141218 LR - 20220317 IS - 1940-1574 (Electronic) IS - 0003-3197 (Linking) VI - 65 IP - 10 DP - 2014 Nov TI - Left ventricular systolic and diastolic function in normotensive type 2 diabetic patients with or without autonomic neuropathy: a radionuclide ventriculography study. PG - 877-82 LID - 10.1177/0003319713510966 [doi] AB - We investigated the relation between diabetic autonomic neuropathy (DAN) and left ventricular (LV) function in 59 patients with type 2 diabetes mellitus (T2DM) free of coronary artery disease (CAD) or hypertension. Diabetic autonomic neuropathy was established by >/=2 abnormal autonomic nervous function tests. Left ventricular systolic and diastolic functions were assessed by resting radionuclide ventriculography. Compared with non-DAN patients (n=24), patients with DAN (n=35) had an increased adjusted atrial contribution to ventricular filling (A/V%, 30.1%+/-8.2% vs 26.5%+/-5.1%; P=.031), suggestive of diastolic dysfunction (DD). There were no differences between the 2 groups in peak filling rate, first 1/3 filling fraction, ejection fraction, cardiac output, and cardiac index. Patients with diabetic autonomic neuropathy had an increased heart rate (77.8+/-6.3 vs 69.3+/-3.3 bpm; P<.0001) and a higher rest LV workload (10,072+/-1165 vs 8606+/-1075 bpm mm Hg; P<.0001). Patients with DAN T2DM without CAD or hypertension have DD, increased A/V index, and a higher LV working load than non-DAN patients. CI - (c) The Author(s) 2013. FAU - Didangelos, Triantafyllos P AU - Didangelos TP AD - First Propeudetic Department of Internal Medicine, Diabetes Center, Medical School, Aristotle University of Thessaloniki, "AHEPA'' Hospital, Thessaloniki, Greece didang@med.auth.gr. FAU - Arsos, Georgios AU - Arsos G AD - Laboratory of Nuclear Medicine, Medical School, Aristotle University of Thessaloniki, Papageorgiou Hospital, Thessaloniki, Greece. FAU - Karamitsos, Theodoros AU - Karamitsos T AD - Department of Cardiovascular Medicine, University of Oxford, John Radcliffe Hospital, United Kingdom. FAU - Iliadis, Fotios AU - Iliadis F AD - First Propeudetic Department of Internal Medicine, Diabetes Center, Medical School, Aristotle University of Thessaloniki, "AHEPA'' Hospital, Thessaloniki, Greece. FAU - Papageorgiou, Athanasios AU - Papageorgiou A AD - Second Propeudetic Department of Internal Medicine Medical School, Aristotle University of Thessaloniki, Hippocration Hospital, Thessaloniki, Greece. FAU - Moralidis, Efstratios AU - Moralidis E AD - Laboratory of Nuclear Medicine, Medical School, Aristotle University of Thessaloniki, "AHEPA" Hospital, Thessaloniki, Greece. FAU - Athyros, Vasilios AU - Athyros V AD - Second Propeudetic Department of Internal Medicine Medical School, Aristotle University of Thessaloniki, Hippocration Hospital, Thessaloniki, Greece. LA - eng PT - Case Reports PT - Journal Article DEP - 20131121 PL - United States TA - Angiology JT - Angiology JID - 0203706 SB - IM MH - Cardiac Output MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*physiopathology MH - Diabetic Neuropathies/*diagnostic imaging MH - Diastole/*physiology MH - Female MH - Heart Rate/physiology MH - Humans MH - Male MH - Middle Aged MH - Patient Selection MH - Radionuclide Ventriculography/*methods MH - Systole/*physiology MH - Ventricular Dysfunction, Left/*diagnostic imaging/physiopathology MH - Ventricular Function, Left/*physiology OTO - NOTNLM OT - autonomic neuropathy OT - diabetes mellitus OT - left ventricular function OT - radionuclide ventriculography EDAT- 2013/11/23 06:00 MHDA- 2014/12/19 06:00 CRDT- 2013/11/23 06:00 PHST- 2013/11/23 06:00 [entrez] PHST- 2013/11/23 06:00 [pubmed] PHST- 2014/12/19 06:00 [medline] AID - 0003319713510966 [pii] AID - 10.1177/0003319713510966 [doi] PST - ppublish SO - Angiology. 2014 Nov;65(10):877-82. doi: 10.1177/0003319713510966. Epub 2013 Nov 21.