Does diabetes mellitus worsen diastolic left ventricular dysfunction in aortic stenosis?
Diabetes mellitus exacerbates diastolic dysfunction in aortic stenosis via increased myocardial fibrosis, advanced glycation end product deposition, and cardiomyocyte stiffness due to titin hypophosphorylation.
Worse diastolic LV dysfunction in AS-DM predisposes to heart failure and results from more myocardial fibrosis, more intramyocardial vascular advanced glycation end product deposition, and higher cardiomyocyte F(passive), which was related to hypophosphorylation of the N2B titin isoform.
Falcão‐Pires et al. (Tue,) studied this question.