Heart failure is a complex clinical syndrome arising from any structural or functional cardiac condition that impairs left ventricular (LV) filling or ejection. The present study was conducted to assess usefulness of echocardiography in left ventricular diastolic dysfunction in adult patients with diabetes mellitus and hypertension.
Materials & Methods: 56 patients with diastolic dysfunction of both genders were subjected to Echocardiography performed with convex transducer of Aplio & Ge. Grading of left ventricular systolic and left ventricular diastolic dysfunction was done.
Results: Out of 56 patients, males were 34 and females were 22. Left ventricular diastolic dysfunction was found in 30 and left ventricular systolic dysfunction in 26 subjects. In LVDD, 16 were diabetics and 14 were non- diabetic. In LVSD, 12 were diabetics and 16 were non- diabetics. Grading in LVDD found to be 0 seen in 2 in diabetics, 1 seen in 2 and 4, 2 seen in 5 and 6, 3 in 7 and 4 subjects with non- diabetes and diabetes respectively. In LVSD, grading found to be 0 seen in 2 and 0, 1 seen in 6 and 3, 2 seen in 5 and 7, 3 in 3 and 2 subjects with non- diabetes and diabetes respectively. The difference was significant (P<0.05).
Conclusion: Echocardiography was useful in detection of diastolic dysfunction. Hypertension and diabetes mellitus have an independent positive impact on left ventricular diastolic dysfunction.