Diabetes Cardiomyopathy: A Case Report and Literature Review

糖尿病性心肌病(DCM)是一种起病隐匿，长期处于慢性高血糖状态的心肌功能障碍性疾病，其主要特征是心肌细胞肥大、纤维化进展、心室功能受损。早期表现为心肌结构及功能改变，最终导致心力衰竭、心律失常和心源性休克，严重者甚至导致心源性猝死。本文就DCM进行了病例报道和文献复习，为DCM的诊治提供思路，避免延治误治。Diabetes cardiomyopathy (DCM) is a kind of myocardial dysfunction disease with concealed onset and chronic hyperglycemia for a long time. Its main characteristics are cardiomyocyte hypertrophy, fibrosis progression, and impairment of ventricular function. Early manifestations are changes in myocardial structure and function, which eventually lead to heart failure, arrhythmia, cardiogenic shock, and even sudden cardiac death in severe cases. This article provides case reports and literature review on DCM, providing ideas for the diagnosis and treatment of DCM and avoiding delayed treatment and mistreatment.