Abstract
Background: Diabetic cardiomyopathy is a well-known cardiovascular disorder. This study was aimed to evaluate diastolic function in patients with type 2 diabetes mellitus without cardiovascular risk factors based on echocardiographic findings.
Material: One year hospital based cross-sectional study. A total of 100 patients with type 2 diabetes mellitus for a period of one year were enrolled. All the patients underwent 2D echocardiography and were evaluated for diastolic dysfunction.
Observations: 58% patients were males and male to female ratio was 1.38:1. The common age group in this study was >60 years (43%) and the mean age was 55.67+-11.13 years. In 41% of the patients the duration of diabetes was between 1-5 years. 57% of the patients had uncontrolled diabetes with HbA1c of >8%. Diastolic dysfunction was present in 36% of the patients. Significant association of diastolic dysfunction was noted with age (p=0.012) and duration of diabetes (p=0.022) but no association was found with sex (p=0.118), body mass index (p=0.419) and glycemic control (p=0.433).
Conclusion: Diastolic dysfunction is widely prevalent in patients with type 2 diabetes mellitus even in the absence of cardiovascular risk factors. Increased age and duration are the significant risk factors for diastolic dysfunction in patients with type 2 diabetes mellitus.
Keywords: Diabetes mellitus; Diabetic cardiomyopathy; Diastolic dysfunction.
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Corresponding Author
Dr Savesh Roshan
Post Graduate, Department of General Medicine,
S.S. Institute of Medical Sciences & Research Centre, Davangere, Karnataka, India