A Case of Congestive Heart Failure in Adolescent with Diabetes Mellitus / 대한소아내분비학회지

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.