DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20211364

Silhouette of cardiac impairment in diabetic patients at a medical college in Rewa district

Julie Abraham, Manoj Indurker, Seema Mahant, M. K. Jain, Kanniyan Binub

Abstract


Background: The modern technology (TMT) had helped to detect cardiac impairment in diabetes patients relative to past. This study had attempted to use modern tools for detection of cardiac impairment in patients who attended OPD in a medical college of Rewa district. Objectives of the study was to evaluate cardiac dysfunction and factors associated with cardiac dysfunction (using values of TMT) in diabetic patients.

Methods: A descriptive study was done with help of recording history of variables like smoking, alcohol, BMI, HBA1C value, cholesterol level and others. Chi square was done to assess test of significance.

Results: Diastolic dysfunction was more in patients with diabetic complications than those without diabetic complications. Most patients having peripheral neuropathy, nephropathy and retinopathy had diastolic dysfunction. Patients had also shown high incidence of positivity to TMT. Half of the patients (50%) positive results for stress test were higher with cases who led a sedentary life style (13.64%). Most of patients (70%) had serum. cholesterol level less than 200 mg/dl but the positive results for stress test were higher in patients with Serum. cholesterol level 200 to 239 mg/dl. 

Conclusions: The study could shower light on the conclusion that left ventricular diastolic dysfunction in type 2 diabetes mellitus patients is more relative to systolic dysfunction.


Keywords


Cardiac dysfunction, TMT, Cholesterol, Stress test

Full Text:

PDF

References


Dortimer AC. Diffuse coronary artery disease in diabetic patients-Fact or fiction. AHA. 1978;57(1):57-133.

Kannel WB, MC Gee DL. Diabetes and cardiovascular risk factors: the Framingham study. Circulation. 1979;59:8-13.

Gordon T, Gracia M. Morbidity and mortality in diabetics. Diabetes. 1974;23:105.

Alonzo D, Pell S. Some aspects of hypertension in diabetes mellitus. JAMA. 1967;202:104-10.

Rosengren A, Tsiprogianni A. Impact of cardiovascular risk factor or coronary heart disease and mortality among middle aged diabetic men a general population study. BMJ. 1989;4:299.

Uusitupa M, Sitonen O, Aso A. Effect of correction of hyperglycemia on left ventricular function in non-insulin dependent (Type II) diabetics. Acta Med Scan. 1983;213:363-8.

Schannwell CM, Schneppenheim M, Perings S. Left ventricular diastolic dysfunction as an early manifestation of diabetic cardiomyopathy. Cardiology. 2002;98:33-9.

Rubler S, Dlugash J, Yuceoglu YZ, Kumral T, Branwood AW, Grishman A. New type of cardiomyopathy associated with diabetic glomerulosclerosis. Am J Cardiol .1972;30:595-602.

Froelicher VF, Thomas P, Pikow C. An epidemiologic study of asymptomatic men screened with exercise testing for latent coronary artery disease. AM J Cardiol. 1974;34:770-6.

Epstein FH, Kellman P, Fananapazir L, McVeigh ER, Arai AE. Assessment of regional systolic and diastolic dysfunction in familial hypertrophic cardiomyopathy using MR tagging. Magn Reson Med. 2003;50(3):638-42.

Miellinen H, Lehto S, Salomaa V, Mähönen M, Niemelä M, Haffner SM. Impact of diabetes on mortality after the first myocardial infarction. Diabetes care. 1988;21:69-75.

Blandine JD, Bernard S, Habib G, Bory M, Vague P, Lassmom Vague V. Silent myocardial ischemia in patients with diabetes who to screen. Diabetes care. 1999;22:1396-400.

Koustinen MJ. Prevalence of asymptomatic myocardial ischemia in diabetic subjects. BMJ. 1990;301:92-5.

Naka M, Hiramatisu K, Arzawa T. Silent myocardial ischaemia in patients with non-insulin dependent diabetes mellitus as judged by tread mill exercise testing and coronary angiography. Am Heart J. 1992;123;46-53.

Raheja BS, Talwalkar NG, Suttarwalla SK. Ischaemic heart disease in diabetes. J Assoc Physicians India. 1970;18(2):261-7.

Premalata G, Anirudhan MK, Mohan V, Sastry. Treadmill test in the diagnosis of Ischemic Heart disease in NIDDM patients: usefulness and safety. Int J Diab Dev Wuntris. 1995;15.

Sargin H, Ozisik NC, Seven O, Orbay E, Gozu H. The prevalence of silent ischaemia in Turkish patients with type-2 diabetes mellitus. Tohoku J Exp Med. 2005;205:351-5.

Gupta R, Gupta S. Value of maximal TST to screen asymptomatic persons of coronary artery disease. JAPl. 2012;31(12): 83.

Brunner MDP. Physical activity and coronary artery disease. Joslin's Diabetes Mellitus. 1974;231.

Stamler J, Vaccaro O, Neatin JD, Woster D. Diabetes other risk factor and 12 year cardiovascular mortality for men aerened in the multiple risk factor intervention trial. Diabetes care. 1993;16:434-44.

Ramchandra A, Snehalatha C, Latha E, Satyavani K, Vijay V. Clustering of cardiovascular risk factor in action Indians. Diabetes care. 1998;21:967-71.

Giral P, Bruckert E, Darou F, Turpai G, Boubrit K, Drobinski G et al. Usefulness in predicting coronary artery disease by ultrasonic evaluation of the control arteries in asymptomatic hypercholesterolemic patients with positive exercise lists. Am J Cardiol. 1999;11(84):14-7.

Cheng YJ, Lauer MS, Earnest CP, Church TS, Kampert JB. Heart rate recovery following maximal exercise testing as a predictor of cardiovascular disease and all-cause mortality in men with diabetes. Diabetes care. 2003;26:2052-7.

Janand B, Sawin DB, Habib G, Bory PM. Silent myocardial ischaemia in patients with diabetes: who to screen. Diabetes care. 1999;22(9):1396-400.