J Korean Soc Pediatr Endocrinol.  2008 Dec;13(2):193-197.

A Case of Congestive Heart Failure in Adolescent with Diabetes Mellitus

• Ahn HS
• Park SJ
• Lee EJ
• Kim HJ

Abstract

The number of patients with diabetes mellitus continues to increase worldwide. Diabetes is strongly associated with cardiovascular disease including myocardial infarction, hypertension and diabetic cardiomyopathy. The prevalence of heart failure is twice as high in diabetic men and five times as high in diabetic women aged between 45 and 74 years. We report a case of congestive heart failure in an adolescent with type 1 diabetes mellitus. A 16-year-old girl, who had been treated for diabetes mellitus since 10 years ago, presented with dyspnea, orthopnea and generalized edema. Echocardiography showed dilated left ventricle and systolic dysfuction. She improved with treatment by diuretics, digoxin, angiotensin-converting enzyme inhibitors and glycemic control.

Keyword

Diabetes mellitus; Heart failure; Cardiomyopathies; Adolescent

MeSH Terms

Adolescent
Aged
Angiotensin-Converting Enzyme Inhibitors
Cardiomyopathies
Cardiovascular Diseases
Diabetes Mellitus
Diabetes Mellitus, Type 1
Diabetic Cardiomyopathies
Digoxin
Diuretics
Dyspnea
Echocardiography
Edema
Estrogens, Conjugated (USP)
Female
Heart Failure
Heart Ventricles
Humans
Hypertension
Male
Myocardial Infarction
Prevalence
Angiotensin-Converting Enzyme Inhibitors
Digoxin
Diuretics
Estrogens, Conjugated (USP)