Chronic heart failure in association with diabetes mellitus-Reference-Cited by-同舟云学术

Chronic heart failure in association with diabetes mellitus

Published:2022-04-29 Issue:1 Volume: Page:96-103
ISSN:0514-2415
Container-title:Health care of Tajikistan
language:
Short-container-title:jour

Author:

Faizulloev A. I.¹

Affiliation:

1. SEI “Postgraduate Institute of Public Health Education of the Republic of Tajikistan”

Abstract

Aim. To present clinical and functional characteristics of chronic heart failure in association with diabetes mellitus type 2.Material and methods. 105 patients with a verified diagnosis of chronic heart failure in association with diabetes mellitus type 2 who were hospitalized at the cardiology department of State Institution “RCRC” of Ministry of Health and Social Welfare of RT during the period 01.09.2020 - 01.08.2021 were examined. Of them, men were 48 (45.7%), women 57 (54.3%). All patients underwent general clinical, laboratory, instrumental, as well as functional examinations.Results and discussion. Complex evaluation of patients with chronic heart failure in association with diabetes mellitus type 2 (n=105) showed that the majority of patients (96,2%) had metabolic subcompensation of carbohydrate metabolism - HbA1c>7%. The results of assessing the severity of clinical symptoms according to the clinical evaluation scale, indicators of renal function, and hemodynamic parameters of the heart in the group of patients with chronic heart failure in association with type 2 diabetes mellitus with arterial hypertension + coronary heart disease were significantly different from the group of patients with chronic heart failure in association with type 2 diabetes mellitus also with arterial hypertension and chronic heart failure in association with coronary heart disease.Conclusion. The etiology of chronic heart failure in our study group is CHD and arterial hypertension, which have distinctive features depending on gender and age. The degree of clinical symptomatology manifestation is directly dependent on the functional class of chronic heart failure. The most frequent companions of chronic heart failure in association with type 2 diabetes mellitus are obesity and chronic kidney disease. Left ventricular hypertrophy is considered to be one of the unfavorable predictors of cardiovascular complications, and its fluctuations were observed in our patients.

Publisher

Healthcare of Tajikistan

Reference9 articles.

1. Bagriy A.E. Khronicheskaya serdechnaya nedostatochnost i sakharnyy diabet 2 tipa: sostoyanie problemy [Chronic Heart Failure and Type 2 Diabetes Mellitus: The State of the Problem]. Rossiyskiy kardiologicheskiy zhurnal - Russian Journal of Cardiology, 2020, Vol. 25 (4), pp. 3858.

2. Kobalava Zh.D. Sovremennaya paradigma patofiziologii, profilaktiki i lecheniya serdechnoy nedostatochnosti pri sakharnom diabete 2 tipa [Modern Paradigm of Pathophysiology, Prevention and Treatment of Heart Failure in Type 2 Diabetes Mellitus]. Rossiyskiy kardiologicheskiy zhurnal - Russian Journal of Cardiology, 2019, Vol. 24, No. 11, pp. 98-111.

3. Kraiem N. Dinamika rasprostranennosti khronicheskoy serdechnoy nedostatochnosti i sakharnogo diabeta v Nizhegorodskoy oblasti s 2000 po 2017 god [Dynamics of prevalence of chronic heart failure and diabetes mellitus in Nizhny Novgorod Oblast from 2000 to 2017.]. Kardiologiya - Cardiology, 2018, Vol. 58 (2), pp. 25-32.

4. Sultanov Kh.S. Variabelnost arterialnogo davleniya i priverzhennost k lecheniyu muzhchin srednego vozrasta bolnykh s arterialnoy gipertoniey na fone kontroliruemoy terapii [Blood pressure variability and adherence in middle-aged men with arterial hypertension on controlled therapy]. Zdravookhranenie Tadzhikistana - Healthcare of Tajikistan, 2015, No. 3, pp. 42-49.

5. Khamidov N.Kh. Osobennosti remodelirovaniya miokarda levogo zheludochka u bolnykh s arterialnoy gipertoniey pozhilogo vozrasta s komorbidnoy depressiey [Peculiarities of left ventricular myocardial remodeling in elderly patients with arterial hypertension with comorbid depression]. Vestnik Avitsenny - Avicenna Bulletin, 2017, Vol. 19 (2), pp. 172-176.