Assessmentof Heart in Diabetic Patients using Echocardiography

Abstract

Heart can be affected by many morbidities regarding the diabetic status, this study was aimed to assess the impact of diabetes on the heart by echocardiographyin order to detect the major complications of the heart early.This study was concerned with study and assessment of heart changes in diabetic patient using echocardiography in order to characterize these lesions or changes prior to the development of symptoms. So this can lead to early clinical detection as well as providence of clinical base for these changes for future scope.A total of 50 diabetic patients were studied by using echocardiography this study has been done in the echo departments in National Ribat University Hospital and the Military Hospital – Sudan in the period from Aug – Sep 2015, aged between 25-85 years old. Echocardiographic machines with motion mode(M –mode) and Doppler capabilities was used. The probe is of a convex, or better to be a sector type. The transducer is a phased - array 3.5-7.5 MHZ, ultrasound gel is applied to the transducer to prevent any attenuation or artifacts. A questionnaire is used to collect the data and to number the patients.The main study results were, 16% were diagnosed with normal results and 84% with significant morbidities, the percentage of diabetes in females is higher than males, the most affected age group is 60-69 years old, the highest morbid result found is the ischemic heart disease with diastolic dysfunction 20% of the total research population, the mean ± SD for the LV EF% was 61.26±11.634, LV EF% correlated inversely with LVESD and Lt Atrium Diameter; whereas correlated proportionally with LVPW, cardiac valves and blood flow mostly were normal. We concluded from this study that the use of the echocardiography in characterizing these lesions or changes prior to the development of symptomatic congestive heart failure sub-clinical left ventricular dysfunction (systolic or diastolic) exists for sometimes. So this can lead to early clinical detection as well as providence of clinical base for these changes for future scope.