Two-dimensional speckle tracking echocardiography can sensitively detect subtle changes in the early impairment of right ventricular systolic function in patients with abnormal glucose metabolism. Type 2 diabetes is the common mechanism causing impaired myocardial mechanics in the right and left ventricles. The reduced global systolic longitudinal strain of the right ventricle was associated with reduced global septal longitudinal strain and left ventricular remodeling. HbA1c is an independent predictor of the global longitudinal strain of the right ventricle, and controlling blood glucose levels may be expected to improve the extent of myocardial damage.
Keyphrases
- left ventricular
- blood glucose
- mitral valve
- hypertrophic cardiomyopathy
- glycemic control
- type diabetes
- heart failure
- cardiac resynchronization therapy
- acute myocardial infarction
- left atrial
- aortic stenosis
- cross sectional
- pulmonary hypertension
- pulmonary artery
- blood pressure
- cardiovascular disease
- insulin resistance
- adipose tissue
- coronary artery
- aortic valve
- ejection fraction
- atrial fibrillation