Liaqat Ali, Naeem Asghar, Imran Khan.
ASYMPTOMATIC DIABETICS; Diastolic dysfunction.
Professional Med J Jan ;23(11):1373-6.

Diabetes mellitus (DM) is not only a significant independent risk factor for developing of atherosclerotic ischemic heart disease or ventricular hypertrophy but it is also able to trigger a diabetic cardiomyopathy due to dysmetabolic processes resulting heart failure. Cardiovascular complications are known to be the main cause of death and morbidity in diabetic patients. Objectives: How frequent is the diastolic dysfunction in asymptomatic diabetic? Study Design: Descriptive cross sectional. Setting: Echocardiography department Faisalabad Institute of Cardiology Faisalabad. Patients were recruited from outpatient department of Faisalabad institute of cardiology Faisalabad. Duration of Study: Six months from: 28-06-2015 to 28-12-2015. Methodology: 200 patients were included in the study. Patient’s bio data was recorded and informed consent was taken. All echocardiographic studies were performed with VIVID-07 echo machine by the same operator. Detailed assessment of left ventricular systolic and diastolic function by using standard 2-dimensional, color flow Doppler and tissue Doppler imaging (TDI) was done. Images were obtained in all patients. Each patient underwent left ventricular (LV) diastolic function assessment by conventional Doppler, tissue Doppler imaging (TDI). LV ejection fraction was calculated using conventional method. Blood flow velocities at mitral valve leaflets and pulmonary veins were recorded with averaged from 3 end-expiratory cycles at a sweep of 100 mm/s. This information was collected through a specially designed proforma by the author. Results: In our study, out of 200 cases, 52%(n=104) were between 50- 55 years of age while 48%(n=96) were between 56-60 years of age, mean+sd was calculated as 55.54+2.59 years, 49%(n=98) were male while 51%(n=102) were females, frequency of diastolic dysfunction in asymptomatic, normotensive patients with diabetes mellitus was recorded as 45.5%(n=91) while 54.5%(n=109) had no findings of the morbidity. Conclusion: We conclude that the frequency of diastolic dysfunction is quite high (45.5%) in asymptomatic diabetics.

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