Muhammad Zaman, Abdul Mannan, Samra Haq, Muhammad Umer Farooq.
Frequency of asymptomatic diastolic dysfunction in type ii diabetic patients with normal systolic function.
J Cardiovascular Dis Jan ;11(4):97-100.

BACKGROUND: The incidence of Ischemic Heart Disease (IHD) is higher in diabetic patient as compared to general population. Diabetes is associated with increased cardiovascular complications, the most common of which are IHD and left ventricular dysfunction. Diastolic dysfunction has been described as an early sign of this diabetic heart muscle disease preceding the systolic damage. AIMS: The purpose of this study was to determine the frequency of asymptomatic diastolic dysfunction in type II diabetic patient with normal systolic function. Material and Methods: This was a cross sectional study conducted at outdoor patient department of Cardiology, Punjab Institute of Cardiology, Lahore during six months period. A total of 200 patients with type II diabetes mellitus of more than four years duration were studied. Echocardiography was performed to assess left ventricular diastolic dysfunction. RESULTS: In our study, 15.50%(n=31) were between 40-45years, 31.5%(n=63) were between 46-50 years of the age and 53%(n=106) were between 51-55 years of the age, mean age was 49.84±4.232 years, 55%(n=110) were male and 45%(n=90) were females, diastolic dysfunction was found to be higher among patients who had prolonged duration of type II diabetes mellitus as (78.40%). CONCLUSIONS: Present study reveals high incidence of diastolic dysfunction in diabetic patients. Echocardiography must be done for early diagnosis and institution of treatment. This will reduce morbidity and improve the outcome, and prevent future heart failure.

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