Diabetic Cardiomyopathy

In large part due to an increase in age, obesity, and diabetes mellitus, heart failure and accompanying morbidity and mortality are rising alarmingly quickly. Patients with diabetes mellitus experience much worse clinical outcomes from heart failure than patients without the condition. The phrase "diabetic cardiomyopathy" refers to the existence of cardiac dysfunction in persons with diabetes mellitus in the absence of overt clinical coronary artery disease, valvular disease, and other traditional cardiovascular risk factors, such as hypertension and dyslipidaemia. Alongside the rise in diabetes mellitus, the prevalence of diabetic cardiomyopathy is also rising. Myocardial fibrosis, dysfunctional remodelling, and concomitant diastolic dysfunction are the early symptoms of diabetic cardiomyopathy. Systolic dysfunction and clinical heart failure are later symptoms.

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