Friday, March 2, 2018

Elevated Cardiomyopathy Risks among Those with Diabetes


Active with the American Academy of Orthopaedic Surgeons, Dr. Stuart Remer has experience in treating New York patients for a full range of joint and spine conditions. Extensively trained, Dr. Stuart Remer completed a prestigious fellowship program at the Jackson Laboratory in Maine and undertook published research on topics such as diabetes, cardiology, and the development of cardiomyopathy.

With cardiomyopathy a general term for any heart muscle problem, the diabetic form is associated with the long-term changes to the body and heart exerted by diabetes. With their condition unmanaged, those living with diabetes experience elevated blood sugar levels, which damages both the nerves and blood vessels. In addition, obesity is associated with added strain placed on the heart. 

With diabetes tied to elevated heart failure risks beyond hypertension and coronary artery disease alone, it makes sense for those with diabetes to be on the lookout for subtle functional changes. These include changes in myocardial geometry, such as increased mass in the left ventricular wall. In addition, elevated myocardial lipotoxicity may be present. This involves myocardial fatty acid oxidation and uptake, and causes cell death.

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