الفهرس | Only 14 pages are availabe for public view |
Abstract Diabetes mellitus is major risk factors for cardiovascular disease.DM is associated with increased risk of cardiovascular risk of death. Diabetes can lead to heart failure not only by augmenting coronary artery disease through macroangiopathy but also through structural changes involving the left ventricle (LV) causing systolic and diastolic dysfunction. Objectives: To compare diabetic patients with ischemic cardiomyopathy to those with diabetic cardiomyopathy in terms of LV systolic function, diastolic function and short term outcome. Methods: Our study included 30 diabetic patients with heart failure admitted to critical care department over a period of 16 months (March 2016- July 2017).Patients were subjected to full history and detailed physical examination that included killip classification, laboratory investigations and echocardiographic systolic function (LVEF, GLS, WMSI) and diastolic LV function (E/A,É, E/É). The study population was divided into two groups based on coronary angiography data: group I included patients with Ischemic cardiomyopathy (ICM) n=16. group II patients with diabetic cardiomyopathy DMCMP n=14. Results: The mean age of the whole study group was 60±10 years with 6/30 females (20%) and 24 males (80%).The mean age in group I was 63±7 years and 55±11yearsin group II with a non statistically significant p value 0.038 |