title: [Value of endomyocardial biopsy in congestive heart failure in diabetics without coronary disease].
abstract: 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.
authors.affiliation: Service d'Endocrinologie, Diabétologie, Nutrition, Hôpital Jean-Verdier, Bondy.
authors.forename: P
authors.initials: P
authors.lastname: Valensi
authors.forename: R N
authors.initials: RN
authors.lastname: Sachs
authors.forename: A
authors.initials: A
authors.lastname: Nitemberg
authors.forename: J
authors.initials: J
authors.lastname: Perennec-Cardinali
authors.forename: J R
authors.initials: JR
authors.lastname: Attali
mesh_terms: 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
vernacular_title: Intérêt de la biopsie endomyocardique dans l'insuffisance cardiaque congestive du diabétique non coronarien.