Search In this Thesis
   Search In this Thesis  
العنوان
Outcome of diabetic patients with cardiomyopathy in critical care unit :
الناشر
Najjat Obaid Awadh ,
المؤلف
Najjat Obaid Awadh
هيئة الاعداد
باحث / Najjat Obaid Awadh
مشرف / Hassan Khaled
مشرف / Mahmoud Elbadry
مشرف / Samir Elhadidy
تاريخ النشر
2017
عدد الصفحات
140 P :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
العناية المركزة والطب العناية المركزة
تاريخ الإجازة
28/6/2018
مكان الإجازة
جامعة القاهرة - كلية الطب - Critical Care Medicine
الفهرس
Only 14 pages are availabe for public view

from 158

from 158

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