The Predictors of Left Ventricular Dysfunction Among Hypertensive And Diabetic - Hypertensive Patients in A Tertiary Hospital in Nigeria
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
There is currently an ongoing global epidemiological transition of disease patterns from communicable diseases (CD) to non communicable diseases (NCD), and Sub – Saharan Africa is not spared. Majority of NCD related deaths occur in low and middle income countries such as Nigeria. Diabetes mellitus and systemic hypertension represent the greatest burden of the NCDs in the African region, often occurring together with common risk factors. To determine the predictors of left ventricular diastolic function in type 2 diabetic patients with or without hypertension at the University of Calabar Teaching Hospital. This was a cross sectional study carried out at the cardiac and endocrinology clinics of the University of Calabar Teaching Hospital (UCTH) for a period of 6 months from Jan to July 2013. Data was analysed using SPSS version 15. One hundred and four (56.5%) of the participants were males while 80 (43.5%) were females. The study showed that the prevalence of Left ventricular diastolic dysfunction (LVDD) is 63.0% and 67.4% in normotensive diabetic and hypertensive patients respectively, with a higher prevalence of 76.1% in hypertensive – diabetic patients. The predictors of LVDD were older age, higher waist-hip ratio, diastolic blood pressure, fasting blood sugar and glycated hemoglobin. In conclusion, the combination of hypertension and diabetes mellitus has a greater effect on LVDD.
Authors and Affiliations
Vincent Maduka Uhegbu, Victor Okon Ansa, Henry Ohem Okpa, Ofem Egbe Enang, Clement Osita Odigwe
Keywords
Related Articles
- EP ID EP262830
- DOI 10.9790/0853-1609116470
- Views 94
- Downloads 0
An Introduction to Nanophotonics and its Various Applications
.
Preoperative Ketorolac and Aceclofenac for Control of Pain after Orthodontic Separator Placement – An Observational Study
The control of pain in different stages during orthodontic treatment is important for orthodontic practitioners and their patients. Following the application of separators, many patients experience pain till the next 24...
Prevalence of pulmonary hypertension in systemic sclerosis and it’s correlation with clinical variables
Introduction: Development of pulmonary artery hypertension (PAH) worsens prognosis of systemic sclerosis (SSc) and can be either isolated precapillary PAH or secondary to interstitial lung disease (ILD). Early diagnosis...
Prehospital Factors Influencing Survival Time of Cardiac Arrest Patients Outside Hospital: Case Study of Malang General Hospital And Dr. Iskak General Hospital Tulungagung, Indonesia
Mortality due to sudden out-hospital cardiac arrest is common and has become health care problem worldwide.Emergency medical system is expected to implement five chains of survival effectively. The continuous PAROS (Pan...
Uropathogens and Diabetes Mellitus- a perspective
.