Diabetic cardiomyopathy in veterinary medicne

Yıl 2022, Cilt: 1 Sayı: 1, 53 - 57, 26.12.2022

Ülfet Tandoğan , Hande Soylu , Banu Dokuzeylül , Remzi Gönül , M. Erman Or

Öz

Diabetes mellitus (DM) is an important endocrine disorder in humans and animals, developing due to insulin deficiency or resistance to the effect of insulin, causing disturbances in carbohydrate, fat and protein metabolism, characterized by polyuria, polydipsia, polyphagia, weight loss, fatigue due to hyperglycemia, etc. clinical symptoms.In studies conducted on diabetic patients in the field of human medicine, the presence of ventricular dysfunction has been detected in patients who do not have a potential cause to predispose to coronary artery disease, hypertension and other cardiovascular diseases.The disorders caused by DM on the heart are expressed as diabetic cardiomyopathy (DCM).DCM is characterized by diastolic dysfunction, myocardial dilatation and decreased left ventricular function and is one of the important causes of morbidity and mortality in diabetic patients.Based on this prevalence result in human medicine, studies and researches on diabetic cardiomyopathy have been started in the field of veterinary medicine in recent years.The aim of this review is to provide information about DCM in cats and dogs, to examine and emphasize the relationship between diabetes mellitus and heart diseases, to increase the number of studies in this field and to draw attention to the need to add cardiac examination to routine controls in practice.

Anahtar Kelimeler

diabetes, cardiomyopathy, heart, veterinary medicine

Veteriner hekimlikte diyabetik kardiyomiyopati

Öz

Diabetes mellitus (DM) insanlarda ve hayvanlarda sık karşılaşılan, insülin eksikliğine veya insülinin etkisine gösterilen dirence bağlı olarak gelişen, karbonhidrat, yağ ve protein metabolizmalarında bozukluğa sebep olan, poliüri, polidipsi, polifaji, kilo kaybı, hiperglisemiye bağlı halsizlik vb. klinik semptomlarla karakterize önemli bir endokrin bozukluktur. Beşeri hekimlik alanında diyabetik hastalar üzerinde yapılan çalışmalarda koroner arter hastalığına, hipertansiyona ve diğer kardiyovasküler hastalıklara zemin hazırlayacak potansiyel bir nedeni olmayan hastalarda ventriküler disfonksiyon varlığı tespit edilmiştir.. DM’nin kalp üzerinde yaptığı bozukluklar diyabetik kardiyomiyopati (DKM) olarak ifade edilir. DKM, diyastolik disfonksiyon, miyokardiyal dilatasyon ve sol ventrikül fonksiyonlarında azalma ile karakterize olup diyabetik hastalarda morbidite ve mortalitenin önemli sebeplerindendir. Beşeri tıptaki bu prevalans sonucuna dayanarak son yıllarda veteriner hekimlik alanında da diyabetik kardiyomiyopatiyle ilgili çalışma ve araştırmalar yapılmaya başlanmıştır. Bu derlemenin amacı kedi ve köpeklerde DKM hakkında bilgi vermek, diabetes mellitus ile kalp hastalıkları arasındaki ilişkiyi irdelemek ve vurgulamak, bu alandaki çalışmaların arttrılmasına ve DM hastalarının kalp muayenesinin pratikte rutin kontrollere eklenmesi gerektiği konusuna dikkat çekmektir.

Anahtar Kelimeler

diyabet, kardiyomiyopati, kalp, veteriner hekimlik

Kaynakça

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