The Question of Cardiomyopathy in Diabetes Mellitus

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Controversy during the past decade on the influence of hypoglycemic agents on mortality in diabetes mellitus has served to focus attention on the diabetic patient's cardiovascular system. A recent report in the British Medical Journal has added support to the view that some patients with diabetes mellitus have myocardial alterations that may result in heart failure as the process develops fully (1). This is of particular interest because the authors indicate that most normotensive persons with long-term diabetes but no clinical evidence of heart disease may have a preclinical abnormality of the left ventricle. With a computerized echocardiographic technique, 14

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