Original Research Article
Year: 2020 | Month: May | Volume: 7 | Issue: 5 | Pages: 8-13
Assessment of Diastolic Dysfunction in Normotensive Asymptomatic Type II Diabetes Mellitus and Correlation with Pulmonary Artery Pressure
Akram Ramadan Farag Elburki, Ravikant Patil, Emadaldin Awad Amgrab
Department of Cardiac Care, Sevasadan Lifeline Super Speciality hospital, MIDC Industrial Area, Miraj, Maharashtra - 416410 India;
Corresponding Author: Akram Ramadan Farag Elburki
ABSTRACT
Aim: To estimate the prevalence of Diastolic Dysfunction in normotensive asymptomatic type 2 diabetes mellitus and determining its correlation with increased pulmonary artery pressure (PAP).
Methods: Retrospective and cross-sectional study with data obtained from Sevasadan Lifeline Super Speciality hospitals between 10/1/2020 to 31/3/2020. A total of 111 patients records were retrieved. This study included inpatients of type 2 DM of all age groups and patients with cardiac diseases were excluded from the study. For each patient, clinical profile like age, gender, BMI, HbA1C, duration of diabetes, treatment of type 2 DM, Grades of diastolic dysfunction and PAP etc were studied. In this study pulmonary pressure was measured by acceleration time and then PAP was determined by using equation PAP=90-AT×0.62.
Results: Out of 111 subjects with type -2 DM, 63 (56.76 %) were males and 48 (43.24 %) were females. Mean age at the time of diagnosis was 46.53± 10.35 years. Overall prevalence of diastolic dysfunction was 85.59%. Grade 1 LVDD was the most common (41.44 %) in the present study. Statistically significant association was seen between pulmonary artery pressure and the prevalence of diastolic dysfunction
Conclusion: Overall prevalence of diastolic dysfunction was 85.59%. Grade 1 LVDD was the most common (41.44 %). Statistically significant association was seen between pulmonary artery pressure and the prevalence of diastolic dysfunction (p≤ 0.0001, 0.64807) showing that prevalence of diastolic dysfunction is dependent on the increased Pulmonary arterial pressure.
Keywords: Normotensive, Type 2 diabetes mellitus, Diastolic dysfunction and pulmonary artery pressure.
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