Why the study?
Left ventricular hypertrophy is a cardiac macrovascular complication of diabetes mellitus that can increase heart failure and death risk, but its associations in this population needed determination.
Left ventricular hypertrophy is frequently observed in younger patients with type 1 diabetes, highlighting the need for routine ECG screening in diabetic patients regardless of age or hypertension status.
Background: Macrovascular complications of diabetes mellitus (DM) include cardiac manifestations such as left ventricular hypertrophy (LVH), which can increase the risk of heart failure and death. Objectives: To determine associations between LVH and other variables in patients living with DM (PLWD). Methods: A retrospective study over 1 year was conducted on patients who attended the DM clinic at Edendale Hospital in South Africa. Electrocardiographs (ECGs) and standardised data sheets were analysed. The Sokolov-Lyon, Cornell and Romhilt-Estes methods were utilised for diagnosing LVH on ECGs. Results: = 0.010) than LVH - patients. Conclusion: LVH was seen more frequently in younger patients who often had DM1+, lower SBP, higher HDL, and lower triglycerides. Most cases of LVH were diagnosed using the Sokolov-Lyon method. LVH should be screened for frequently in PLWD, irrespective of whether patients are hypertensive or not, and this should be done at all ages.
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Chetty et al. (2022) studied this question.
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