CARDIAC MARKERS IN CHILDREN WITH TYPE 1 DIABETES MELLITUS: MODERN ASSESSMENT CRITERIA
Keywords:
type 1 diabetes mellitus, children, cardiac markers, cardiovascular complications, troponin, natriuretic peptide, echocardiography, electrocardiography, diabetic cardiomyopathy, endothelial dysfunction, early diagnosis.Abstract
Type 1 diabetes mellitus is one of the most common endocrine diseases in childhood and is characterized by a high risk of developing chronic vascular complications. In recent years, particular attention has been paid to the early detection of cardiovascular disorders in children with type 1 diabetes, as diabetic cardiomyopathy and endothelial dysfunction can develop long before the onset of clinical symptoms. Cardiac markers are an important tool for assessing the functional state of the cardiovascular system and can detect early signs of myocardial and vascular damage.
Type 1 diabetes mellitus remains one of the most pressing issues in pediatric endocrinology due to its high prevalence and the risk of developing early vascular complications. Long-term hyperglycemia negatively impacts the cardiovascular system, contributing to the development of functional and structural myocardial changes already in childhood. Therefore, the study of cardiac markers that can detect preclinical signs of cardiac and vascular damage in children with type 1 diabetes is particularly important.