{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:40:23Z","timestamp":1761864023852,"version":"3.36.0"},"reference-count":0,"publisher":"Scientific Foundation Spiroski (publications)","issue":"17","license":[{"start":{"date-parts":[[2019,8,12]],"date-time":"2019-08-12T00:00:00Z","timestamp":1565568000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Open Access Maced J Med Sci"],"abstract":"<jats:p>BACKGROUND: Diabetes mellitus (DM) is a major risk factor for heart failure (HF) and coronary artery disease (CAD). DM may cause structural changes involving the left ventricle (LV) systolic and diastolic function.\r\nAIM: To compare patients who have diabetes and ischemic cardiomyopathy (ICM) to those with diabetic cardiomyopathy (DMCMP) regarding LV systolic function, diastolic function, in hospital long term and short-term mortality.\r\nMETHODS: Ninety diabetic patients with heart failure and left ventricular ejection fraction (LVEF) \u2264 35%, admitted to Critical Care Medicine department Cairo University were divided into two groups based on coronary angiography results; group I (ICM) n = 48 patients and group II (DMCMP) n = 42 patients.\r\nRESULTS: Group I patients had higher mean age (63 \u00b1 7 years), (p = 0.004), Hypertension (p \u02c2 0.001) and dyslipidemia (p = 0.008) were significantly more present in group I compared to group II. No significant differences were found regarding LVEF, global longitudinal strain (GLS), E\/A and E\/\u00c9 ratio in both groups. A significant difference in the wall motion score index (WMSI) in group I; (1.4 \u00b1 0.4) versus group II; (1.1 \u00b1 0.2), (p = 0.005) was found. In the study, 6 patients had a cardiogenic shock with no documented in-hospital mortality. At 6 months, statistically, significantly higher mortality rates were found in group I, (p = 0.006), while at one year there was no significant difference in the mortality between the two groups, (p = 0.077). In comparison of the survived and non-survived patients at 6 months and one year in group I (ICM) there was a significant difference in LVEF (40 \u00b1 6% vs 23 \u00b1 6%, p \u02c2 0.001), GLS (- 8.1 \u00b1 2.4 vs - 4.6 \u00b1 2.6, p = 0.007), E\/A (1.25 \u00b1 0.91 vs 1.8 \u00b1 0.5, p = 0.038), E\/\u00c9 (11.68 \u00b1 7.5 vs 21.3 \u00b1 3.6, p = 0.001) respectively. In group ll (DMCMP) there was no documented mortality at 6 months follow up, however, at one year there was statistically significant difference in the mortality between survived and non-survived patients; the LVEF (35 \u00b1 8% vs 25 \u00b1 2%, p = 0.014), GLS (-7.9 \u00b1 2.9% vs -5 \u00b1 0.1%, p = 0.032), E\/A (1.45 \u00b1 0.8 vs 3.3 \u00b1 0, p = 0.006) respectively. The E\/\u00c9 ratio in group ll was not significantly different between the groups (15.73 \u00b1 5.3 vs 15 \u00b1 1, p = 0.873).\r\nCONCLUSION: The combination of cardiomyopathy and diabetes affects LV systolic and diastolic function; however; ischemic cardiomyopathy and diabetic cardiomyopathy had a similar systolic and diastolic function. Ischemic cardiomyopathy is associated with worse prognosis compared to diabetic cardiomyopathy.<\/jats:p>","DOI":"10.3889\/oamjms.2019.655","type":"journal-article","created":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T16:54:24Z","timestamp":1571072064000},"page":"2796-2801","source":"Crossref","is-referenced-by-count":4,"title":["The Outcome of Diabetic Patients with Cardiomyopathy in Critical Care Unit: Hospital and Short-Term Outcome in a Period of Six Months to One Year"],"prefix":"10.3889","volume":"7","author":[{"given":"Najjat","family":"Obaid","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"El Hadidy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahmoud","family":"El Badry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Khaled","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"52292","published-online":{"date-parts":[[2019,8,12]]},"container-title":["Open Access Macedonian Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/spiroski.migration.publicknowledgeproject.org\/index.php\/mjms\/article\/download\/3145\/3900","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/oamjms.eu\/index.php\/mjms\/article\/download\/3145\/3728","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T21:18:07Z","timestamp":1681939087000},"score":1,"resource":{"primary":{"URL":"https:\/\/spiroski.migration.publicknowledgeproject.org\/index.php\/mjms\/article\/view\/3145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,12]]},"references-count":0,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2019,9,15]]}},"URL":"https:\/\/doi.org\/10.3889\/oamjms.2019.655","relation":{},"ISSN":["1857-9655"],"issn-type":[{"type":"electronic","value":"1857-9655"}],"subject":[],"published":{"date-parts":[[2019,8,12]]}}}