Acta
Medica Medianae
Vol. 42
Number 4, Oktobar, 2003
UDK 61
YU ISSN 0365-4478
Kontakt:
Goran
Damnjanovic
Interno odcljenje Vojne bolnice
Brace Tasković bb, 18000 Niš, Srbija i Crna Gora
Tel.: 018/ 508-834, e-mail: GORAN7328@bankerinter.net
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ECHOCARDIOGRAPHIC AND ERGOMETRIC
DISTURBANCES IN DIABETICS WITH MYOCARDIAL INFARCTION
Goran Damnjanovic*, Boris
Đinđic**, Vekoslav Mitrovic*, Dragan Jovovic*, Slobodanka Veličković* i
Ruzica Janković***
Interno odeljenje Vojne bolnice u Nišu*
Institut za patološku fiziologiju Medicinskog fakulteta u Nišu**
Klinika za kardiologiju Kliničkog centra u Nišu***
The aim of this study was to
examine echocardiographic and ergometric disorders in noninsulin
dependent diabetics with myocardial infarction and their correlation
with appearing of left ventricular diastolic dysfunction.
We examined 80 patients with myocardial infarction (MI) treated in
Military Hospital in Nis. They were divided into two groups: diabetics
and non-diabetics. Doppler echocardiography was used for evaluating left
ventricular diastolic function, and ergometric parameters were obtained
by bicycle ergometer "Quinton" - Bruce protocol. Diastolic blood
pressure and heart rate were higher in diabetics. Double product and
power (68.75±13.5 and 50±14.97W) were lower in diabetics. They also had
frequent appearances of ST depression, dyspnea, palpitation, and rhythm
disturbances in rest and after ergotest. Fatigue and pain were more
prominent symptoms in non-diabetics. The Doppler mitral E wave was
similar between these groups and the A wave was increased in diabetics
(0.51 ±0.05 vs. 0.48±0.09, p<0.01). E/A ratio was significantly
decreased in diabetics as a sign of worst diastolic dysfunction
(1.14±0.09 vs. 1.26±0.17; p<0.01). Acta Medica Medianae 2003; 42
(4):43-47.
Key words: diastolic dysfunction, diabetes mellitus, ergometry,
echocardiography |