Abstract
ObjectiveThe aim of the study was to assess the interrelation between sonographic pleural B-Line, left ventricular function and Naturetic Peptides in type 2 Diabetics with acute onset class III-IV dyspnea. There is dearth of data in this subset of patients in Asian population. MethodsSubjects (n=73) were divided into those with pleural B line (Group A, n=41) and those without (Group B) and their serum B type Naturetic Peptide (BNP) and Echocardiography evaluated. ResultsThe serum BNP was significantly higher and mean Left Ventricular Ejection Fraction (LVEF) lower in Group A compared to Group B (p<0.001). There was a significant negative correlation between LVEF and BNP and positive correlation between E/E’ and BNP. Among patients with LVEF 40% and above (n=36), patients with B line had significantly higher BNP and E/E’ compared to those without. Group A had significantly more patients on insulin therapy and troponin positivity than Group B (p<0.01). On auscultation though crepitations was found more frequently in group A but it was present in only 50% of the subset. ConclusionPleural B-Lines, LVEF and mitral inflow E/septal E’ can be used to rule in heart failure in the above population.
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