ECHOCARDIOGRAPHIC EVALUATION OF LEFT VENTRICULAR DIASTOLIC DYSFUNCTION IN TYPE 2 DIABETES MELLITUS PATIENTS

Abstract

The study was done to find out the left ventricular diastolic dysfunction in type 2 diabetes mellitus patients.

Methods After ethical consideration, Observation based Cross–Sectional study was conducted at R D Gardi Medical College, Ujjain in 75 cases of type 2 diabetes mellitus. All the patients were subjected for routine investigations along with HbA1c and 2D echocardiography for evaluation of the left ventricular function.

Results: Among 75 study cases, forty one (54.7%) had left ventricular diastolic dysfunction. The cases with left ventricular diastolic dysfunction had a mean HbA1c of 8.48.There was significant correlation of left ventricular diastolic dysfunction with HbA1c (p value of 0.001), With rise in HbA1c level there was increased involvement of the myocardium with subsequent increase in severity of left ventricular diastolic dysfunction.

Conclusions: This study concludes that myocardial damage occurs before the appearance of clinical manifestations. Left ventricular diastolic function is affected earlier than the systolic function and is an early marker of diabetic cardiomyopathy. Early intervention and strict control of diabetes should be advised to all diabetes patients to prevent the early involvement of the myocardium.