First of all, you should definitely be on an ace inhibitor and beta blocker if not already on this. The echocardiogram reveals that your heart is larger than normal in size, and the pumping function is close to normal, but a little low. In diabetic patients, the most common cause of cardiomyopathy is coronary artery disease. One fear with patients who have diabetes is that sometimes they do not have typical symptoms of chest pain with coronary artery disease, and may have what is called "silent ischemia." It would be reasonable to perform a stress test or an angiogram, depending on what your physician advises. If the angiogram shows that you have severe coronary artery disease, there would be a survival benefit to fixing your arteries. Hope this helps.
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