Ramswaroop Jawaharlal 1, Sneha K2
BACKGROUND
Heart disease accounts for 50 percentages of all deaths among people with diabetes. Risk factor for people with diabetes is increase in BP, high serum cholesterol and obesity. Adult with diabetes historically have a 2 or 3 times higher rate of cardiovascular diseases than without diabetes. This risk increases continuously with rising fasting plasma glucose higher than optimal blood glucose is a leading cause of cardiovascular mortality in most world region.
MATERIALS AND METHODS
Present study is a prospective hospital-based observational study conducted in the Department of General Medicine, Konaseema Institute of Medical Sciences, Amalapuram, between April 2015 to May 2017. A total of 110 patients who has been diagnosed as type-2 diabetes mellitus were selected for this study as per inclusion and exclusion criteria. Electrocardiography of all the patient was done by same machine Philips Page Writer Tc20, 12 leads standard supine ECG was stand recorded. A number of different voltage criteria for LVH has been proposed. We have used Cornell Voltage Criteria for diagnosis of LVH, that is SV3+RAVL >28 mm in males and SV.3+RAVL >20 mm in females, in these patients were divided into two groups.
RESULTS
There was statistically significant difference between fasting plasma glucose concentration defence in both groups. Group-1 FPG was 131.1 mg/dL, in group-2, it was 108.4 mg/dL with P value 0.0007. PPPG was also higher in group-1 that is 165.1 mg/dL than group-2 that is 138.45 mg/dL. Glycosylated haemoglobin was higher in group-1 than in group-2 that is 6.86 and 6.20 respectively with a P value 0.327, which is not significant statistically. Duration of diabetes was longer in group-1 than group-2. There is statistically significant difference in SBP and DBP in both group.
CONCLUSION
In our study, we have found that prevalence of left ventricular hypertrophy was high in type-2 diabetes mellitus patients. Prevalence is high in patient with longer duration of diabetes mellitus and with higher fasting and postprandial glucose.Left Ventricular Hypertrophy, Diabetes Mellitus, Prevalence.
