[Value of endomyocardial biopsy in congestive heart failure in diabetics without coronary disease].
Two cases of congestive heart failure in diabetic females are reported. One patient had moderate hypertension. Echography and angiography revealed a low-output dilated cardiopathy and ruled out the possibility of coronary artery stenosis and thin amyloid deposits were found in one patient. The evolution was favorable with a low-salt diet, associated with diuretic and vasodilator treatments. These case reports confirm the existence of a diabetic myocardiopathy, which may lead to congestive heart failure. They justify a complete hemodynamic analysis and a histopathological evaluation of the myocardium when this complication occurs.
Valensi
P
P
Service d'Endocrinologie, Diabétologie, Nutrition, Hôpital Jean-Verdier, Bondy.
Sachs
R N
RN
Nitemberg
A
A
Perennec-Cardinali
J
J
Attali
J R
JR
D000368:Aged; D001706:Biopsy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D004699:Endocardium / Q000473:pathology* / Q000648:ultrastructure; D005260:Female; D006333:Heart Failure / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008854:Microscopy, Electron; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology* / Q000648:ultrastructure
Intérêt de la biopsie endomyocardique dans l'insuffisance cardiaque congestive du diabétique non coronarien.