An 86 year old female was referred to our facility for management of severe symptomatic aortic stenosis manifested as dyspnea at rest and syncope. Our multidisciplinary heart valve team deemed her to be high risk for surgical AVR due to NYHA functional class IV congestive heart failure, severe right ventricular dysfunction, pulmonary hypertension, chronic lung disease and diabetes mellitus. Tra...

This review article summarizes the existing literature on current state of problem diabetes mellitus and acute coronary syndromes. In particular, issues are analyzed related to etiology, epidemiology, main pathophysiological features, classification syndromes, syndromes without persistent ST-segment elevation electrocardiogram, with elevation, non-atherosclerotic causes syndrome, laboratory ins...

noncompaction of the ventricular myocardium is an embryonic cardiomyopathy that is increasingly being recognized. noncompaction of lv myocardium, right ventricular myocardium, or both can occur in isolation, in congenital heart diseases, in valvular heart diseases, in neuromuscular disorders, skeletal abnormalities and in endocrinologic abnormalities. clinical manifestations of ventricular non-...

conclusions the vibratory innocent murmur is associated with the presence of left ventricular false tendon and higher left ventricular outflow tract velocity. the presence of the left ventricular false tendon was somewhat associated with decreased early diastolic myocardial velocity. normal left ventricular systolic and diastolic function can be used as a reassurance in cases with the vibratory...

D iabetes is a risk factor for the development of symptomatic heart failure, particularly in elderly patients with type 2 diabetes (1,2). Heart failure that occurs as the result of impaired myocardial relaxation and compliance has been termed diastolic heart failure (3). Diastolic heart failure develops despite normal left ventricular systolic contractile function and leads to significant morbi...

AIMS In addition to diabetes mellitus, less severe abnormalities of glucose and insulin metabolism may be related to functional status in patients with heart failure. We examined the relationship of hyperglycaemia (> or =6.1 mmol. l(-1)) and hyperinsulinaemia (> or =11.2 mU. l(-1)) to functional status and cardiac function in patients with heart failure. METHODS AND RESULTS Fasting plasma glu...

SEE PAGE 400 S afety, reliability, ease of use, and relatively low cost has placed echocardiography at the forefront of imaging modalities utilized in the assessment of cardiac function. Over the last 2 decades, techniques to detect pre-clinical cardiac dysfunction, such as the echocardiographic estimation of myocardial strain and strain rate, have been developed. Myocardial strain measures the...

Objective: Epicardial adipose tissue is the visceral fat located between myocardium and pericardium. Increases in epicardial are closely associated with occurrence of cardiovascular diseases. The systemic immune inflammation index a new parameter developed to determine inflammatory status patients. In our study, we aimed evaluate relationship immun patients diabetes mellitus. Method: 119 T2DM 5...