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
Keywords
Related Articles
- EP ID EP518055
- DOI -
- Views 62
- Downloads 0
Adhesive Capsulitis in Diabetic Patient Treated with Manual Therapy and Closed Kinematic Exercise – An Evidence Based Study
Introduction: Prolonged posture related soft tissue pain are common among desk work nature of job. Pain and reduction in use of arm can give rise to diminished daily activities and quality of life aims and objectives of...
Non traumatic Massive Subcutaneous Emphysema in a Baby
Subcutaneous emphysema is a condition in which air is trapped in the layer under the skin. A 1½ year old boy presented in our casualty with history of violent cough followed by bloating up of baby. The whole baby was cov...
An Autopsy Study of Pattern of Fatal Cranio-Cerebral Injuries Due to Blunt Force Trauma at Medicolegal Centre of A Tertiary Healthcare Centre
Background: Traumatic brain injury (TBI) has been called the “Silent Epidemic”. It is defined as sudden injury due to an external force that affects the functioning of brain. It may be either caused by sudden blow or imp...
Comparison of the Patient’s Satisfaction, Aesthetic, Cost Effectiveness and Speech Problem in Hawley’s Retainer and Invisible (Clear) Retainer Question Based Study in Ahmadabad
Aim: To compare simple retainer (Hawley’s) and invisible (clear) retainer in people of Ahmadabad city. Material & Methodology: The present cross-sectional questioner study was conducted in Ahmadabad city. The study sampl...
Diagnostic Yield of Conventional Fiberoptic Bronchoscopy in a Resource Limited Setting
Fiberoptic Bronchoscopy is a commonly performed minimally invasive procedure in respiratory practice. Diagnostic yield of bronchoscopy varies considerably depending on indications and techniques used during bronchoscopy....