Clinical profile of diabetic patients with heart failure admitted in tertiary care teaching hospital, Kishanganj, Bihar- An Observational Study
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
Background: Diabetes mellitus and heart failure are two multifaceted entities characterised by high morbidity and mortality. Early epidemiological and prospective studies have observed the frequent coexistence of both conditions. Methodology: An echocardiography was done and investigations like complete haemogram, HbA1C, FBS, PPBS, renal profile and fasting lipid profile was also done. Echocardiography was done by Siemens CV70 machine in department of cardiology and HbA1C was measured by High Pressure Liquid Chromatographic method in department of biochemistry. Results: A total of 100 patients coming with signs and symptoms of HF who are also diabetic were selected for the study, in whom 72 were male and 28 were female. Predominant symptoms were shortness of breath (100%) followed by swelling of legs (48%) and palpitation (29%). History suggestive of paroxysmal nocturnal dyspnea was present in 27 (27%) patients. Atrial fibrillation was observed in 23% cases. LVEF [<50%] was recorded 62% cases at presentation. Mean HbA1C was 7.3±0.9. Anaemia was reported about 31% cases. Dyslipidemia was noticed about 47% of the study participants with diabetes with heart failure. Among 100 patients 62 (62%) presented with left ventricular ejection fraction <50% and 38 (38%) presented with left ventricular ejection fraction ≥50%. Conclusion: Diabetes is an independent risk factor for the development of congestive heart failure and heart failure patients with diabetes have a worse prognosis than those without diabetes
Authors and Affiliations
Dr Sumit Sharma
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