Introduction:?Cardiovascular disease is the leading cause of death
in diabetics. The objective of our study was to investigate the
echocardiographic aspects of type 2 diabetics. Patients and Method: Descriptive
and cross-sectional study of 12 months from June 2020 to June 2021. We included
hospitalized type 2 diabetics who underwent transthoracic cardiac ultrasound in
the Department of Medicine and Endocrinology at the Mali Hospital. Results: We collected 128 type 2 diabetics. The predominance was male with a sex ratio of
1.2. The mean age of patients was 60.06 ± 11.54 years with extremes of 28 and
84 years. Echocardiographic abnormalities were dominated by abnormal
relaxation of left ventricle in 62.5%, increased of left ventricle mass in
54.7% and left atrium dilation in 28.1%. Patients with type 2 diabetes mellitus
and hypertension had more left atrium dilation with a p of 0.02. Disorders of
global kinetics and systolic dysfunction were more prevalent in smoking
patients with statistically significant associations, respectively, p = 0.02; p
= 0.03. Dyslipidemia had a statistically significant association with segmental
kinetic disorders with a p of 0.008. Duration of diabetes greater than 5 years
was associated with left atrium dilation and p-value was 0.04. Conclusion: Diabetes is responsible for cardiovascular manifestations that can be
identified with transthoracic echocardiography. Its performance in diabetic
patients makes it possible to refine the patient’s management.
Eschwège, E. and Guillanneuf, M. (2001) [Epidemiology of Heart Disease in Diabetes]. Diabetes & Metabolism, 27, S7-S11.
[3]
Laing, S.P., Swerdlow, A.J., Slater, S.D., Burden, A.C., Morris, A., Waugh, N.R., et al. (2003) Mortality from Heart Disease in a Cohort of 23,000 Patients with Insulin-Treated Diabetes. Diabetologia, 46, 760-765.
https://doi.org/10.1007/s00125-003-1116-6
[4]
Lee, S.H. and Park, J.H. (2023) The Role of Echocardiography in Evaluating Cardiovascular Diseases in Patients with Diabetes Mellitus. Diabetes & Metabolism Journal, 47, 470-483. https://doi.org/10.4093/dmj.2023.0036
[5]
Park, J.H. (2019) Two-Dimensional Echocardiographic Assessment of Myocardial Strain: Important Echocardiographic Parameter Readily Useful in Clinical Field. KCJ, 49, 908-931. https://doi.org/10.4070/kcj.2019.0200
[6]
Marx, N., Federici, M., Schütt, K., Müller-Wieland, D., Ajjan, R.A., Antunes, M.J., et al. (2023) 2023 ESC Guidelines for the Management of Cardiovascular Disease in Patients with Diabetes: Developed by the Task Force on the Management of Cardiovascular Disease in Patients with Diabetes of the European Society of Cardiology (ESC). European Heart Journal, 44, 4043-4140.
https://doi.org/10.1093/eurheartj/ehad774
[7]
Yaméogo, N.V., Mbaye, A., Diack, B., Ndour, M., Kane, M., Diagne-Sow, D., et al. (2013) étude des paramètres échocardiographiques du diabétique de type II noir africain à haut risque cardiovasculaire. étude transversale de 79 cas sénégalais. Annales de Cardiologie et d'Angeiologie, 62, 3-7.
https://doi.org/10.1016/j.ancard.2011.04.013
[8]
Tougouma, S.J.B., Kambiré, Y., Bado, J., Yaméogo, A.A., Yaméogo, T.M., Sidibé, S., et al. (2018) Electrocardiographie couplé à l’échocardiographie transthoracique de repos dans le diagnostic des atteintes cardiaques chez le diabétique de type 2: Les enseignements d’une série transversale au Burkina Faso. Pan African Medical Journal, 31, 169. http://www.panafrican-med-journal.com/content/article/31/169/full/
https://doi.org/10.11604/pamj.2018.31.169.15798
[9]
Konaté, M., Traoré, D., Sow, D.S., Sy, S., Mariko, S., Ouologuem, N., et al. (2021) L’électrocardiogramme du Sujet Diabétique de Type 2 à Bamako: une étude Hospitalière: ECG features of type 2 diabetes inpatients at Bamako. Health Sciences and Disease, 22.
[10]
Konate, M., Sow, S., Traore, D., Diakite, A., Ouologuem, N., Millogo, R., et al. (2018) Facteurs de risque cardiovasculaire chez les diabetiques nouvellement diagnostiques et hypertendus a l’Hopital du Mali de Bamako. Journal Recherche Scientifique de l’Université de Lomé, 20, 517-524.
[11]
Merzouk, F., Bendriss, L. and Khatouri, A. (2013) Syndrome coronarien aigu et diabcte type 2: Etude de 244 cas. Diabetes & Metabolism, 39, A118.
https://doi.org/10.1016/S1262-3636(13)72133-5
[12]
Konaté, M., Sow, D.S., Traoré, D., Diakité, A., Ouologuem, N., Kané, O., et al. (2018) Complications macro-angiopathiques du diabete a l’hopital du Mali de Bamako. Journal Recherche Scientifique de l’Université de Lomé, 20, 483-492.
[13]
Muddu, M., Mutebi, E. and Mondo, C. (2016) Prevalence, Types and Factors Associated with Echocardiographic Abnormalities among Newly Diagnosed Diabetic Patients at Mulago Hospital. African Health Sciences, 16, 183.
https://doi.org/10.4314/ahs.v16i1.25
[14]
Barthélemy, B., Delarue, J., Babuty, D., Casset-Senon, D., Marchal, C., Fauchier, L., et al. (2000) [Cardiac Abnormalities in a Prospective Series of 40 Patients with Type 2 Diabetes]. Archives des Maladies du Coeur et des Vaisseaux, 93, 253-261.
[15]
Jorgensen, P.G., Jensen, M.T., Mogelvang, R., Von Scholten, B.J., Bech, J., Fritz-Hansen, T., et al. (2016) Abnormal Echocardiography in Patients with Type 2 Diabetes and Relation to Symptoms and Clinical Characteristics. Diabetes & Vascular Disease Research, 13, 321-330. https://doi.org/10.1177/1479164116645583