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Review

Role of Echocardiography in Diabetic Cardiomyopathy: From Mechanisms to Clinical Practice

by
Hrvoje Urlic
1,†,
Marko Kumric
1,†,
Josip Vrdoljak
1,
Dinko Martinovic
1,
Goran Dujic
2,
Marino Vilovic
1,
Tina Ticinovic Kurir
1,3 and
Josko Bozic
1,*
1
Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia
2
Clinical Department of Diagnostic and Interventional Radiology, University Hospital of Split, 21000 Split, Croatia
3
Department of Endocrinology, Diabetes and Metabolic disorders, University Hospital of Split, 21000 Split, Croatia
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
J. Cardiovasc. Dev. Dis. 2023, 10(2), 46; https://doi.org/10.3390/jcdd10020046
Submission received: 14 October 2022 / Revised: 17 January 2023 / Accepted: 25 January 2023 / Published: 26 January 2023
(This article belongs to the Topic Cardiac Imaging: State of the Art)
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Abstract

It has been well established that diabetes mellitus (DM) is considered as a core risk factor for the development of cardiovascular diseases. However, what is less appreciated is the fact that DM may affect cardiac function irrespective of cardiac pathologies to which it contributes, such as coronary artery disease and hypertension. Although echocardiography provides accurate and reproducible diagnostic and prognostic data in patients with DM, its use in these patients is still underappreciated, resulting in progression of DM-related heart failure in many patients. Hence, in the present review, we aimed to discuss the role of echocardiography in the contemporary management of diabetic cardiomyopathy (DCM), as well as the role of emerging echocardiographic techniques, which may contribute to earlier diagnosis and more appropriate management of this complication of DM. In order to improve outcomes, focus must be placed on early diagnosis of this condition using a combination of echocardiography and emerging biomarkers, but perhaps the more important thing is to change perspective when it comes to the clinical importance of DCM.
Keywords: diabetes mellitus; diabetic cardiomyopathy; heart failure; echocardiography; diastolic dysfunction; systolic dysfunction; speckle tracking echocardiography; coronary flow reserve diabetes mellitus; diabetic cardiomyopathy; heart failure; echocardiography; diastolic dysfunction; systolic dysfunction; speckle tracking echocardiography; coronary flow reserve

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MDPI and ACS Style

Urlic, H.; Kumric, M.; Vrdoljak, J.; Martinovic, D.; Dujic, G.; Vilovic, M.; Ticinovic Kurir, T.; Bozic, J. Role of Echocardiography in Diabetic Cardiomyopathy: From Mechanisms to Clinical Practice. J. Cardiovasc. Dev. Dis. 2023, 10, 46. https://doi.org/10.3390/jcdd10020046

AMA Style

Urlic H, Kumric M, Vrdoljak J, Martinovic D, Dujic G, Vilovic M, Ticinovic Kurir T, Bozic J. Role of Echocardiography in Diabetic Cardiomyopathy: From Mechanisms to Clinical Practice. Journal of Cardiovascular Development and Disease. 2023; 10(2):46. https://doi.org/10.3390/jcdd10020046

Chicago/Turabian Style

Urlic, Hrvoje, Marko Kumric, Josip Vrdoljak, Dinko Martinovic, Goran Dujic, Marino Vilovic, Tina Ticinovic Kurir, and Josko Bozic. 2023. "Role of Echocardiography in Diabetic Cardiomyopathy: From Mechanisms to Clinical Practice" Journal of Cardiovascular Development and Disease 10, no. 2: 46. https://doi.org/10.3390/jcdd10020046

APA Style

Urlic, H., Kumric, M., Vrdoljak, J., Martinovic, D., Dujic, G., Vilovic, M., Ticinovic Kurir, T., & Bozic, J. (2023). Role of Echocardiography in Diabetic Cardiomyopathy: From Mechanisms to Clinical Practice. Journal of Cardiovascular Development and Disease, 10(2), 46. https://doi.org/10.3390/jcdd10020046

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