STUDY OF LEFT VENTRICULAR MASS INDEX IN NEWLY DETECTED TYPE 2 DIABETES MELLITUS SUBJECTS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 35
Abstract
BACKGROUND Diabetics are at 2-3 times higher risk for cardiac disease than non-diabetics. Increased Left Ventricular Mass Index (LVMI) may lead to the increased cardiovascular risk, because LVH is an important prognostic sign and it is an independent risk factor for sudden cardiac death. The objective of the study is to find out the prevalence of abnormal LVMI in newly detected type 2 DM subjects. MATERIALS AND METHODS This is a descriptive study. A total of 50 newly detected type 2 DM subjects selected from KR Hospital attached to Mysore Medical College and Research Institute. They were examined for height, weight, BMI and BSA. They underwent routine investigations, HbA1c and 2D-Echocardiography. Left ventricular mass index of these patients was calculated using 2D-Echo. RESULTS Mean age was 50.26±9.10 (SD), male-to-female ratio was 1.5:1; 28% were in obesity group. As BMI increased there was increased occurrence of abnormal LVMI in both male and female subjects. Subjects who had LVH with > 5 score in Romhilt and Estes criteria had 100% abnormal LVMI compared to those with < 5 had 41.4%, which was statistically significant (p < 0.00). There is increased incidence of abnormal LVMI with increase in mean HbA1c, which was statistically significant (p < 0.012). CONCLUSION Incidence of abnormal Left Ventricular Mass Index (LVMI) increases with loss of diabetic control and increase in Body Mass Index (BMI) and can be present even in newly detected type 2 DM. Hence, early diagnosis and good control of type 2 DM is important which may reduce the incidence of abnormal LVMI.
Authors and Affiliations
Manjunath Shepur, Indumathi S, Harish Kiran
Keywords
Related Articles
- EP ID EP544837
- DOI 10.14260/jemds/2018/864
- Views 91
- Downloads 0
ROLE OF PRE-OPERATIVE UPPER GASTRO-INTESTINAL ENDOSCOPY IN SYMPTOMATIC PATIENTS UNDERGOING ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY FOR GALL BLADDER STONE DISEASE
BACKGROUND Gallbladder stone disease is one of the most common problems encountered in surgical practice. The diagnosis of gallbladder stone disease has increased over the last decade because of the ease of access to son...
THE ROLE OF MOFS IN OUTCOME IN PATIENTS WITH SEPTIC SHOCK
BACKGROUND Multiple organ failure (MOF) is the main cause of death in ICUs, especially affecting septic patients. Infections are the primary outcome determinant of the MOFS in patients with septic shock. This is a prospe...
ROLE OF HYPERBARIC OXYGEN IN NEO-OSTEOGENESIS IN FRACTURES OF LONG BONES
BACKGROUND Hyperbaric Oxygen Therapy (HBOT) has been proved to regenerate and revitalize various tissues of the body. But, the role of HBOT in promoting neo-osteogenesis has been experimented mainly in animals. Clinical...
STUDY OF CD4 COUNT IN PRE-ART PERIOD AND DURING ART PERIOD IN SEROPOSITIVE HIV ADULT PATIENTS TO SEE THE EFFECT OF HAART
BACKGROUND Cases of HIV are increasing all over the world. India is the third largest in terms of HIV epidemic. This disease has put economic burden over the country. Hence we conducted this study to compare CD4 Count be...
MRI FINDINGS IN PATIENTS WITH LOW BACKACHE- OUR EXPERIENCE
BACKGROUND Low backache is an increasingly common pathological condition that is becoming more frequent with increasing mean life expectancy with high costs for society. It has many causes among which degenerative, neopl...