PREVALENCE OF CARDIAC DYSFUNCTION AND FACTORS ASSOCIATED IN PATIENTS WITH NIDDM AT A TERTIARY CARE HOSPITAL, MADHYA PRADESH

Abstract

Back ground: Globally Diabetes is a major Non communicable disease which is seen associated with cardiac dysfunctions. Objectives: To find the prevalence of cardiac dysfunction in patients with NIDDM and to study associated factors (addiction, HBAIC, Serum Cholesterol) among diabetes mellitus patients. Methods: Cross sectional study was carried out with convenient sampling. A semi structured questionnaire was used in patients coming to a tertiary medical college in Madhya Pradesh. Physical examination, Blood examination, resting ECG were done. 2D- Echo was done to evaluate cardiac dysfunction. Test of significance to test association for various independent variables with dependent variable was done using Chi-square. Results: Study done in 50 patients showed prevalence of cardiac dysfunction in 67% patients with normal ECG findings. 50%of the patients had diastolic dysfunction and 34% was found to have left ventricular hypertrophy. Conclusion: Most of the patients had abnormal echocardiographic findings with diastolic dysfunction while few with left ventricular hypertrophy. The results were significant for association between duration of diabetes with diastolic dysfunction. More studies with increase sample size and various study designs is recommended for strong evidence. Keyword: Prevalence,Cardiac Dysfunction