scholarly journals Determinants of Reduction of Coronary Flow Reserve in Patients With Type 2 Diabetes Mellitus or Arterial Hypertension Without Angiographically Determined Epicardial Coronary Stenosis

2007 ◽  
Vol 20 (12) ◽  
pp. 1283-1290 ◽  
Author(s):  
M GALDERISI ◽  
B CAPALDO ◽  
M SIDIROPULOS ◽  
A DERRICO ◽  
L FERRARA ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Arterial Hypertension ◽  
Coronary Flow Reserve ◽  
Coronary Stenosis ◽  
Coronary Flow ◽  
Flow Reserve

Left ventricular diastolic dysfunction in type 2 diabetes mellitus model rats

2002 ◽  
Vol 282 (1) ◽  
pp. H138-H148 ◽  
Author(s):  
Takehisa Abe ◽  
Yoshimi Ohga ◽  
Nobuoki Tabayashi ◽  
Shuichi Kobayashi ◽  
Susumu Sakata ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Diabetic Cardiomyopathy ◽  
Coronary Flow ◽  
Systolic Function ◽  
Left Ventricular ◽  
Mechanical Work ◽  
Flow Reserve

To gain insight into the pathogenesis of diabetic cardiomyopathy, we investigated cardiac function in terms of the coupling of left ventricular mechanical work and the energetics in Otsuka Long-Evans Tokushima Fatty rats, which are well known as a model of type 2 diabetes mellitus (DM). Neither left ventricular systolic function and mean coronary flow nor coronary flow reserve differed even in late DM rats. The amount of oxygen required for mechanical work and contraction was unaltered, although myosin isozyme was finally transformed from V1 to V3. The maximum pacing rate was decreased from 300 to 240 beats/min, and the left ventricular relaxation rate was significantly ( P < 0.05) slower only in late DM rats, resulting in decreased oxygen consumption per minute for total Ca2+ handling in excitation-contraction coupling mainly consumed by sarco(endo)plasmic reticulum Ca2+-ATPase (SERCA2) without significant changes in basal metabolism or in mitochondrial oxidative phosphorylation. The protein level of SERCA2 in membranes was significantly ( P < 0.001) lower in severe DM rats. We conclude that the only lusitropic dysfunction due to the depressed expression of SERCA2 is related to generating diabetic cardiomyopathy even in the present type 2 diabetic rats.

Impact on Diabetes Mellitus on the Epicardial Coronary Flow Velocity Assessed by the Thrombolysis in Myocardial Infarction Frame Count

Angiology ◽  
2008 ◽  
Vol 60 (4) ◽  
pp. 431-440 ◽  
Author(s):  
Ahmet Soylu ◽  
Kurtulus Ozdemir ◽  
Mehmet Akif Duzenli ◽  
Mehmet Yazici ◽  
Mehmet Tokac
Keyword(s):  
Diabetes Mellitus ◽  
Myocardial Infarction ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Flow Velocity ◽  
Coronary Arteries ◽  
Coronary Flow ◽  
Coronary Flow Velocity ◽  
And Gender

The aim of this study is to evaluate the effect of type 2 diabetes mellitus on epicardial coronary flow velocity assessed by the thrombolysis in myocardial infarction frame count. The thrombolysis in myocardial infarction frame count was measured in 272 coronary arteries from 101 patients with type 2 diabetes mellitus and in 271 coronary arteries from 104 age- and gender-matched patients without type 2 diabetes mellitus referred for coronary angiography. The thrombolysis in myocardial infarction frame count was measured only in normal arteries or in arteries without significant lesion. By both univariate and multivariate analysis, the thrombolysis in myocardial infarction frame count was not related with either type 2 diabetes mellitus or the duration and glycated hemoglobin levels in the patients with type 2 diabetes mellitus. The thrombolysis in myocardial infarction frame count was significantly associated with body surface area, heart rate, and proximal coronary artery diameter. Type 2 diabetes mellitus did not affect epicardial coronary flow velocity assessed by the thrombolysis in myocardial infarction frame count.

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