The frequency of diagnosis and features of heart failure in type 2 diabetes mellitus
AbstractThe relevance of the study of chronic heart failure in patients with type 2 diabetes is due to the wide prevalence of these diseases, as well as the fact that DM 2 is associated with an increased risk of developing CHF. As is known, DM is an independent risk factor for the development of CH, which was first demonstrated in the 1970-s in the Framingham study: in the age group 45-74 years, the risk of developing CH in DM was higher, compared with the total population, 2 times for men and 5 times - for women. It can be said that the risk of developing CH in patients with DM is at least 2.5 times higher than in the General population. We conducted a retrospective analysis in 114 patients to determine the frequency of diagnosis and features of the course of heart failure in patients with type II diabetes. Patients were measured body mass index (BMI), determined the concentration of total cholesterol and triglycerides in the blood, the level of glycated hemoglobin, determined the ejection fraction. Chronic heart failure was combined with type 2 diabetes mellitus in: 51 (44.7%) patients among them: 18 men (35.2%) and 33 women (64.7%) hospitalized in a cardiological hospital. The main causes and risk factors for heart failure are hypertension in patients with type 2 diabetes - 14.2%, coronary heart disease in patients with type 2 diabetes - 80.9% and 3 combination. Overweight prevails in group 1 by 46.2%, and obesity prevails in group 2 (I degree - 19.3%, II degree - 20.9%, III degree - 0.5%). The ejection fraction was reduced in group 1 in 26 patients. The frequency of detection with CHF in persons with type 2 DM is 44.7% (51 patients) and with the experience of type 2 DM 5-10 years (45%) 23 patients. This indicates that the greater the experience of diabetes, the higher the risk of developing CHF.
Keywords:type 2 diabetes, chronic heart failure