Article: Disease Starts Long Before You Have Symptoms.

Even diabetics who keep their condition under control and do not have any obvious symptoms of heart disease may be at risk for hidden heart problems. Left ventricular diastolic dysfunction (LVDD) is an impairment in the relaxation phase of the heart's left ventricle, the main pumping chamber. This can lead to increased pressure and fluids in the lungs or in vessels that return blood to the heart and may be the first sign of diabetes-related heart damage. The major finding of this study is that LVDD is much more prevalent than previously suggested in subjects with type 2 diabetes who are free of clinically detectable heart disease.

Diabetes Care 2000;24:5-10

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