Correlation between diabetes mellitus and left ventricular hypertrophy


 

Abstract

Left ventricular hypertrophy (LVH) is a strong predictor of cardiovascular disease and is common among patients with diabetes (DM), it is an independent risk factor for myocardial ischemia, cardiac arrhythmia, sudden death, and heart failure. The aim of this cross-sectional study is to see if there is any relationship between LVH diabetes in regarding to type of DM, its duration, type of treatment, HbA1c level, lipid profile, Body mass index (BMI), age of patients. A total 101 patients recruited from inpatient outpatient of internal medicine clinic, in Imam Al Hussein Medical City in Karbala during period from May 2016 to May 2017. Different parameters were studied including patients age, BMI, BSA. Blood pressure (BP) was measured with mercury sphygmomanometer. Investigations were done including: CBC, ECG, HbA1c, blood urea creatinine, lipid profile. Echocardiography was used to measure left Ventricular (LV) dimension Doppler study to assess the diastolic function. Females number was 56, males 45. Thirty-six patients had type1DM, 64 type 2 and 1 had gestational DM. Duration of DM range from < 1 year to > 20 years. Nearly 34 patients used insulin, 40 Oral hypoglycemic agents (OHA), 12 combination of both, 15 without treatment. From echo study, 60.40% of patients had normal LVM, 39.60% had increased LVM. Diastolic function assessment revealed that 37.6% of patients had diastolic dysfunction (DD). There was no significant correlation between LVH DM characteristics, but it was more incidence in patients with older age in those with higher BSA, BMI.

Keywords: Diabetes; Left ventricle mass; ECG; Echocardiography

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Research Article
DOI: http://dx.doi.org/10.18081/2333-5106/019-1/1-12
American Journal of BioMedicine Volume 7, Issue 1, pages 1-12
Received August 22, 2018; accepted December 12, 2018; published January 17, 2019

How to cite this article
Al Hadad HS, Edankadhum B, Al Naff K. Correlation between diabetes mellitus and left ventricular hypertrophy. American Journal of BioMedicine 2019;7(1):1-12.

Case report outline
1. Abstract
2. Keywords
3. Introduction
4. Methods
5. Results
6. Discussion
7. References

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