The association of diastolic dysfunction with anaemia in patients with type 2 diabetes Mellitus

Abstract

Background:
Anaemia is a common finding in patients with DM and constitutes an additional burden in patients with advancing age and co-morbid vascular disease. This study examines the association between diastolic dysfunction and anaemia in patients with type 2 DM.
Methods:
This is a cross-sectional study for diabetic patients who were attending the diabetic clinics in Ad Diwaniyah teaching hospital (number of patients was 37) and Al-sadir teaching hospital (number of patients was 28), Najaf from December 2009 to September 2010 to study the occurrence of adverse cardiac findings (diastolic dysfunction) in patients with type 2 diabetes mellitus and anaemia. A 65 type 2 diabetes patients were investigated using transthoracic echocardiography. Recordings and measurements were obtained according to the recommendations of the American Society of Echocardiography. The echocardiographic findings were correlated with Hb level. The patients with and without anaemia were compared.
Aim of the study:
This study was undertaken to show the relationship between anemia and diastolic dysfunction in patients with type 2 diabetes mellitus.
Results:
Diastolic dysfunction was diagnosed in 17 (81 %) of 21 diabetic patients with anaemia compared to 29 (66 %) out of 44 patients with a hemoglobin within the normal range.
Conclusion:
There is significant association between diastolic dysfunction and anaemia in type 2 diabetes patients, consequently this can be used to identify diabetic patients at increased risk of cardiac dysfunction.