EVALUATION OF CARDIAC FUNCTION IN DIABETES MELLITUS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 46
Abstract
BACKGROUND Diabetes mellitus is associated with long-term organ complications, microvascular and macrovascular. It is associated with cardiovascular disease, which is correlated to microalbuminuria and proteinuria. Diabetes is a risk factor for coronary artery disease and congestive heart failure. The present study is aimed to assess cardiac function in diabetes and prevalence of diabetic complications and the relation to glycaemic control in these patients. Aims and Objectives1. To assess cardiac function in 30 cases of diabetes mellitus. 2. To assess the prevalence of complications. 3. To assess the relation of glycaemic control to complications. 4. Prevalence of other risk factors. MATERIALS AND METHODS Thirty consecutive patients with diabetes of 5 to 10 years duration, attending the diabetic clinic of Govt. Medical College, Kozhikode, Kerala were randomly selected. Detailed history regarding onset and duration of diabetes, symptoms of target organ involvement was taken. Detailed clinical examination and necessary investigations were done. RESULTS 1. Retinopathy was present in 43.33%; 2. Proteinuria was present in 40%; 3. Neuropathy was present in 56-66%; 4. Commonest lipid abnormality was increased HDL followed by low LDL; 5. LV mass was increased; 6. Exercise stress test was positive in 30%; 6. Diastolic dysfunction was present in 26.66%; 7. Increase in mean IVS thickness was noted. CONCLUSION 1. Diastolic dysfunction is common in diabetes (26.66% in this study); 2. Subclinical ischaemic heart disease contributes more to cardiac dysfunction in diabetes than diabetic cardiomyopathy (75% in this study); 3. Left ventricular mass is increased in diabetic patients; 4. Silent ischaemia is common in diabetes (30% in this study).
Authors and Affiliations
Mridulkumar Kannath
Keywords
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- EP ID EP548015
- DOI 10.14260/jemds/2018/1105
- Views 55
- Downloads 0
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