Left Ventricular Hypertrophy in Diabetic Patients and Its Relation to Other Diabetic Complications
Background: left ventricular hypertrophy is independent risk factor for cardiovascular morbidity and mortality. The presence of diabetic complications such as autonomic neuropathy and retinopathy may predict cardiac structural changes in diabetic patients. Objective: To explore the chance of occurr...
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University of Baghdad/ Al-Kindy College of Medicine
2008-12-01
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Series: | مجله كليه طب الكندي |
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Online Access: | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/736 |
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author | *Hilal B. shawki Jawad A. kadhim Jawad A. kadhim Adil S. G hafour Amal Al Marayati Shakir M. Muhammed |
author_facet | *Hilal B. shawki Jawad A. kadhim Jawad A. kadhim Adil S. G hafour Amal Al Marayati Shakir M. Muhammed |
author_sort | *Hilal B. shawki |
collection | DOAJ |
description |
Background: left ventricular hypertrophy is independent risk factor for cardiovascular morbidity and mortality. The presence of diabetic complications such as autonomic neuropathy and retinopathy may predict cardiac structural changes in diabetic patients. Objective: To explore the chance of occurrence of left ventricular hypertrophy in diabetic patients and whether it is related to the presence of other diabetic complications. Methods: ninty seven (97) normotensive diabetic patients (57) type II with mean duration of diabetes of (12±6 y) and forty (40) type I with mean duration of (8±6 y) were studied by echocardiography and compared with 41 patients as control. Results: The LVMI was significantly higher in type II diabetics compared to control (102±31 vs. 67±16 p< 0.001), although LVMI was higher in type I compared to controls but it was statistically non significant (76.7±18 vs. 76 ±16 P < 0.25). The increased in LVMI was correlated with long duration of diabetes > 15 years in type I but not in type II (p<0.001), retinopathy (34.5% vs. 4.8 p< 0.001), sings and symptoms of autonomic dysfunction (32.7% vs. 10.4% p=0.008) and (38.2% vs. 12.7%p=0.004) respectively. After adjustment for duration of diabetes, age, gender and the type of diabetes, the LVMI was only significantly correlated with long duration of diabetes (>10y). Conclusion: LV mass index was higher in diabetic patient mainly in type II, more prevalent with long duration of diabetes and if there are other diabetic complications
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first_indexed | 2024-12-10T11:39:31Z |
format | Article |
id | doaj.art-83e6e49250244739b52a895409b400aa |
institution | Directory Open Access Journal |
issn | 1810-9543 2521-4365 |
language | English |
last_indexed | 2024-12-10T11:39:31Z |
publishDate | 2008-12-01 |
publisher | University of Baghdad/ Al-Kindy College of Medicine |
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series | مجله كليه طب الكندي |
spelling | doaj.art-83e6e49250244739b52a895409b400aa2022-12-22T01:50:19ZengUniversity of Baghdad/ Al-Kindy College of Medicineمجله كليه طب الكندي1810-95432521-43652008-12-0142Left Ventricular Hypertrophy in Diabetic Patients and Its Relation to Other Diabetic Complications*Hilal B. shawki0Jawad A. kadhim1Jawad A. kadhim2Adil S. G hafour3Amal Al Marayati4Shakir M. Muhammed5College of Medicine University of BaghdadCollege of Medicine University of BaghdadCollege of Medicine University of BaghdadCollege of Medicine University of BaghdadCollege of Medicine University of BaghdadCollege of Medicine University of Baghdad. Background: left ventricular hypertrophy is independent risk factor for cardiovascular morbidity and mortality. The presence of diabetic complications such as autonomic neuropathy and retinopathy may predict cardiac structural changes in diabetic patients. Objective: To explore the chance of occurrence of left ventricular hypertrophy in diabetic patients and whether it is related to the presence of other diabetic complications. Methods: ninty seven (97) normotensive diabetic patients (57) type II with mean duration of diabetes of (12±6 y) and forty (40) type I with mean duration of (8±6 y) were studied by echocardiography and compared with 41 patients as control. Results: The LVMI was significantly higher in type II diabetics compared to control (102±31 vs. 67±16 p< 0.001), although LVMI was higher in type I compared to controls but it was statistically non significant (76.7±18 vs. 76 ±16 P < 0.25). The increased in LVMI was correlated with long duration of diabetes > 15 years in type I but not in type II (p<0.001), retinopathy (34.5% vs. 4.8 p< 0.001), sings and symptoms of autonomic dysfunction (32.7% vs. 10.4% p=0.008) and (38.2% vs. 12.7%p=0.004) respectively. After adjustment for duration of diabetes, age, gender and the type of diabetes, the LVMI was only significantly correlated with long duration of diabetes (>10y). Conclusion: LV mass index was higher in diabetic patient mainly in type II, more prevalent with long duration of diabetes and if there are other diabetic complications https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/736lvhdiabetes,autonomic neuropathy |
spellingShingle | *Hilal B. shawki Jawad A. kadhim Jawad A. kadhim Adil S. G hafour Amal Al Marayati Shakir M. Muhammed Left Ventricular Hypertrophy in Diabetic Patients and Its Relation to Other Diabetic Complications مجله كليه طب الكندي lvh diabetes, autonomic neuropathy |
title | Left Ventricular Hypertrophy in Diabetic Patients and Its Relation to Other Diabetic Complications |
title_full | Left Ventricular Hypertrophy in Diabetic Patients and Its Relation to Other Diabetic Complications |
title_fullStr | Left Ventricular Hypertrophy in Diabetic Patients and Its Relation to Other Diabetic Complications |
title_full_unstemmed | Left Ventricular Hypertrophy in Diabetic Patients and Its Relation to Other Diabetic Complications |
title_short | Left Ventricular Hypertrophy in Diabetic Patients and Its Relation to Other Diabetic Complications |
title_sort | left ventricular hypertrophy in diabetic patients and its relation to other diabetic complications |
topic | lvh diabetes, autonomic neuropathy |
url | https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/736 |
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