{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T20:09:51Z","timestamp":1793736591050,"version":"4.6.1"},"reference-count":33,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medical Sciences"],"abstract":"<jats:p>Background\/Objectives: Diabetic cardiomyopathy in type 2 diabetes mellitus (T2DM) often progresses silently, manifesting as diastolic dysfunction or subtle systolic impairment despite preserved ejection fraction (EF). Detecting these changes early is critical to prevent symptomatic heart failure. This study assessed the prevalence of left ventricular (LV) diastolic dysfunction and impaired global longitudinal strain (GLS) in T2DM patients with preserved EF and identified related risk factors. Methods: We performed a cross-sectional study of 232 adults with T2DM and EF &gt; 50% at a tertiary hospital. Standard transthoracic and speckle-tracking echocardiography were used to evaluate LV diastolic function and GLS. Logistic regression identified predictors of myocardial dysfunction. Results: LV diastolic dysfunction was found in 53.9% of patients, while 13.4% showed impaired GLS (&gt;\u201317.9%). Independent predictors of diastolic dysfunction were age \u2265 60 years (OR = 2.51, 95% CI: 1.25\u20135.07, p = 0.010) and diabetes duration of 5\u201310 years (OR = 3.06, 95% CI: 1.46\u20136.40, p = 0.003). Reduced GLS was independently associated with male sex (OR = 2.45, p = 0.040) and the presence of diastolic dysfunction (OR = 3.14, p = 0.010). Conclusions: Subclinical myocardial dysfunction is common in Vietnamese T2DM patients with preserved EF. Both diastolic dysfunction and reduced GLS may occur independently or together, influenced by age, sex, and diabetes duration. Incorporating GLS into echocardiographic evaluation may enhance early detection and support tailored cardiovascular risk management in this high-risk group.<\/jats:p>","DOI":"10.3390\/medsci13040237","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T14:24:02Z","timestamp":1761056642000},"page":"237","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Subclinical Myocardial Dysfunction in Type 2 Diabetes Mellitus: Insights from Left Ventricular Diastolic Function and Global Longitudinal Strain Assessment"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4478-9519","authenticated-orcid":false,"given":"Thao Phuong","family":"Nghiem","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City 7000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5515-3799","authenticated-orcid":false,"given":"Hoang Minh","family":"Tran","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City 7000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5157-2830","authenticated-orcid":false,"given":"Dung Ngoc Quynh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Health Sciences, Vietnam National University, Ho Chi Minh City 7000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liem Thanh","family":"Dao","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Health Sciences, Vietnam National University, Ho Chi Minh City 7000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9668-8865","authenticated-orcid":false,"given":"Cuong Cao","family":"Tran","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City 7000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7238-9770","authenticated-orcid":false,"given":"Tuan Minh","family":"Vo","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City 7000, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"ref_1","unstructured":"International Diabetes Federation (2025). 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