Autonomic Neuropathy, Diabetic, Diabetes Mellitus, Type 1, Diabetic Cardiomyopathies
Conditions
Brief summary
Type 1 diabetes mellitus is a chronic autoimmune disease, associated with an increased risk of cardiovascular diseases. The development of cardiomyopathy in type 1 diabetes, independent of hypertension and coronary heart disease, is still controversial. A possible mechanism for diabetic cardiomyopathy is autonomic dysfunction. This study aims to evaluate cardiac function and structure, and to relate them with autonomic dysfunction in type 1 diabetes.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* type 1 diabetes mellitus
Exclusion criteria
* hypertension * coronary artery disease * heart valve disease * ventricular dysfunction * radiotherapy or chemotherapy * alcoholism * limited acoustic window
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preclinical myocardial dysfunction | At patient inclusion. | Incidence of patients with alteration in left ventricular myocardial strain (≤ 17% in absolute value). |
| Left ventricular diastolic dysfunction | At patient inclusion. | Incidence of patients with signs of diastolic dysfunction: average E/e' ratio (abnormal when \> 14) |
| Left ventricular hypertrophy | At patient inclusion. | Incidence of patients with LV mass by linear measurements \> 95 g/m2 if women and \> 115 g/m2 if men. |
| Left atrial dysfunction | At patient inclusion. | Incidence of patients with abnormal reservoir strain (normal range: 38%-41%), or abnormal conduit strain (normal range: 21%-25%), or abnormal contractile strain (normal range: 16%-19%). |
Countries
Brazil