To evaluate cardiac co-morbidities in patients with newly diagnosed type 2 diabetes mellitus using 2d echocardiography
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 4729-4734
Abstract
Aim: To evaluate cardiac co-morbidities in patients with newly diagnosed type 2 diabetes mellitus using 2d echocardiography.Method and material: This research comprised 100 newly diagnosed type 2 diabetes mellites individuals who were clinically asymptomatic, had blood pressure of 130/80mmHg, and had a normal ECG. All patients underwent FBS, PPBS, Renal function tests, including electrolytes, Glycosylated haemoglobin (HbA1c), urine routine and microscopy, ECG, Fundoscopy, Chest x-ray, and Echocardiography.
Results: In the current research, 100 asymptomatic type 2 diabetes mellitus patients received 2-D echocardiography, with men (75%) outnumbering women (25%). The most prevalent age groups were 45-55 years and 55-65 years (30% apiece), with under 45 years (22%). Diastolic dysfunction was detected on 2-D echocardiography in 22 individuals (22%). Diastolic dysfunction of grades I, II, and III was seen in 12%, 7%, and 3% of patients, respectively. In present study, reduced early mitral inflow velocity was noted in 10 cases (10%) and mitral annular early diastolic velocity was noted in 19 cases (19%). We discovered that when HbA1c levels rise, so does the degree of left ventricular diastolic dysfunction; this difference was statistically significant (Chi-square test, p value 0.001). Three cases with grade 3 diastolic dysfunction had HbA1c >9.5, two cases with HbA1c >9.5 had grade 2 diastolic dysfunction, and six cases with HbA1c >9.5 had grade 1 diastolic dysfunction, all of which had LVDD.
Conclusion: Screening for cardiovascular abnormalities by 2D Echo is indicated in all newly diagnosed type 2 diabetes melites patients, with or without cardiovascular symptoms, so that early measures may be done to avoid further development of symptomatic cardiovascular abnormalities.
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