Type 2 diabetes patients with asymptomatic left ventricular dysfunction are at greater risk of death and hospitalisation, a prospective cohort study from Australia has shown. A total of 230 asymptomatic patients with type 2 diabetes, followed for up to 10 years, underwent echocardiography to detect LVD.  Asymptomatic LVD was found in nearly half the patients in this study and was independently associated with adverse outcomes. Newer echo techniques can readily detect subclinical LVD.