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Category: Volume 06 Issue 08 August 2018
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Title: Clinical profile of diabetic patients with heart failure admitted in tertiary care teaching hospital, Kishanganj, Bihar- An Observational Study

Authors: Dr Anuj Kumar Saha, Dr Sumit Sharma, Dr Ichchhit Bharat, Dr Raghwendra Singh

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.46

Abstract

Background: Diabetes mellitus and heart failure are two multifaceted entities characterised by high morbidity and mortality. Early epidemiological and prospective studies have observed the frequent co-existence of both conditions. 

Methodology: An echocardiography was done and investigations like complete haemogram, HbA1C, FBS, PPBS, renal profile and fasting lipid profile was also done. Echocardiography was done by Siemens CV70 machine in department of cardiology and HbA1C was measured by High Pressure Liquid Chromatographic method in department of biochemistry.

Results: A total of 100 patients coming with signs and symptoms of HF who are also diabetic were selected for the study, in whom 72 were male and 28 were female. Predominant symptoms were shortness of breath (100%) followed by swelling of legs (48%) and palpitation (29%). History suggestive of paroxysmal nocturnal dyspnea was present in 27 (27%) patients. Atrial fibrillation was observed in 23% cases. LVEF [<50%] was recorded 62% cases at presentation. Mean HbA1C was 7.3±0.9. Anaemia was reported about 31% cases. Dyslipidemia was noticed about 47% of the study participants with diabetes with heart failure. Among 100 patients 62 (62%) presented with left ventricular ejection fraction <50% and 38 (38%) presented with left ventricular ejection fraction ≥50%.

Conclusion: Diabetes is an independent risk factor for the development of congestive heart failure and heart failure patients with diabetes have a worse prognosis than those without diabetes.

Keywords: Diabetes mellitus, Heart failure, Clinical Profile, Left ventricular ejection fraction.

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Corresponding Author

Dr Sumit Sharma

Senior Resident, Department of General Medicine, Mata Gujri Memorial Medical College & LSK Hospital, Purabbali, Dinajpur Road, Kishanganj, Bihar 855108, India

Mobile: 8405009325, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.