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Frequency of diabetic cardiomyopathy among type-2 diabetics presenting as heart failure

Zil Muhammad1, Asif Hashmi

  • 1Department of Cardiology, King Edward Medical University/ Mayo Hospital, Lahore, Pakistan. zilmohammad@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|August 13, 2013
PubMed

Insights

Diabetic cardiomyopathy is a common cause of heart failure in patients with type-2 diabetes, affecting 40% of those studied. This condition leads to significant morbidity and mortality, highlighting the need for early detection and management.

Area of Science:

  • Cardiology
  • Endocrinology
  • Internal Medicine

Background:

  • Type-2 diabetes mellitus is a growing global health concern.
  • Overt heart failure in diabetic patients often presents complex etiological factors.
  • Diabetic cardiomyopathy is an under-recognized complication of diabetes.

Purpose of the Study:

  • To ascertain the prevalence of diabetic cardiomyopathy in patients with type-2 diabetes and overt heart failure.
  • To investigate the clinical characteristics and outcomes of heart failure in this population.

Main Methods:

  • A case series study was conducted involving 100 patients with type-2 diabetes and heart failure symptoms.
  • Comprehensive investigations included laboratory tests, electrocardiography, echocardiography, and coronary angiography.
  • Data were collected over a 15-month period at a tertiary care hospital.

Main Results:

  • Diabetic cardiomyopathy was diagnosed in 40% of the study cohort.
  • A significant proportion (40%) exhibited marked left ventricular systolic dysfunction (ejection fraction < 30%).
  • Hospitalization resulted in mortality for 5% of patients.

Conclusions:

  • Diabetic cardiomyopathy is a prevalent cause of heart failure among individuals with type-2 diabetes.
  • The condition is associated with substantial morbidity and mortality.
  • Findings underscore the importance of screening for diabetic cardiomyopathy in diabetic patients with heart failure.
Abstract

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