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Systolic Dysfunction of the Heart in Type 1 Diabetes Mellitus

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Impaired insulin synthesis is accompanied by hyperglycemia and the development of diabetic cardiomyopathy. Echocardiography and left-ventricular catheterization were employed for studying the contractile function of the left ventricle in 2 weeks after administration of streptozotocin (60 mg/kg). The results obtained by both methods were similar and indicated the development of systolic dysfunction with a 27% decrease in cardiac output. The invasive study showed that the maximum rate of left-ventricular pressure development, the contractility index, and systolic left-ventricular pressure were within the normal range, but the peak ejection rate was reduced by 28%. BP was normal, but the vascular stiffness index was increased by about 1.5 times and inversely correlated with the peak ejection rate (r=-0.69). The results showed that systolic dysfunction in type 1 diabetes model was due to reduced ejection from the left ventricle at normal rate of left-ventricular pressure development.

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Correspondence to V. L. Lakomkin.

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Translated from Byulleten’ Eksperimental’noi Biologii i Meditsiny, Vol. 172, No. 7, pp. 20-24, July, 2021

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Lakomkin, V.L., Abramov, A.A., Lukoshkova, E.V. et al. Systolic Dysfunction of the Heart in Type 1 Diabetes Mellitus. Bull Exp Biol Med 172, 14–17 (2021). https://doi.org/10.1007/s10517-021-05321-1

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  • DOI: https://doi.org/10.1007/s10517-021-05321-1

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