Das A K, Das J P, Chandrasekar S
Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Int J Cardiol. 1987 Dec;17(3):299-302. doi: 10.1016/0167-5273(87)90080-5.
We report the morphology of diabetic myocardium obtained by endomyocardial biopsy in 16 diabetics. The material was divided into three groups. The first comprised six patients with unexplained cardiomegaly and obscure congestive cardiac failure. The second group, also of six patients, had no cardiac signs and symptoms but exhibited abnormal systolic time intervals. The third group, of 4 patients, was without any cardiac symptoms or signs and had normal systolic time intervals. The vascular and extravascular changes observed were more pronounced in the symptomatic group, intermediate in the asymptomatic patients with abnormal intervals and least in those without symptoms and normal intervals. This provides supporting evidence for the existence of a specific primary myocardial disease in diabetes with good functional structural correlation.
我们报告了通过心内膜心肌活检获取的16例糖尿病患者的糖尿病心肌形态。材料被分为三组。第一组包括6例原因不明的心脏扩大和隐匿性充血性心力衰竭患者。第二组也是6例患者，没有心脏体征和症状，但收缩期时间间期异常。第三组有4例患者，没有任何心脏症状或体征，收缩期时间间期正常。观察到的血管和血管外变化在有症状组中更为明显，在收缩期时间间期异常的无症状患者中居中，在无症状且收缩期时间间期正常的患者中最少。这为糖尿病中存在具有良好功能结构相关性的特定原发性心肌疾病提供了支持证据。
