M Jobe1, A Kane1, J C Jones2, S Pessinaba1, B C Nkum3, S Abdou Ba1, O A Nyan2. 1. Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Senegal. 2. Department of Medicine and Therapeutics, School of Medicine and Allied Health Sciences, University of The Gambia, Edward Francis Small Teaching Hospital, Banjul, The Gambia. 3. Department of Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Abstract
BACKGROUND: The global prevalence of diabetes and its complications is increasing worldwide. Its role in coronary heart disease has been linked with the presence of left ventricular hypertrophy (LVH). The present study aims to determine the prevalence of electrocardiographic left ventricular hypertrophy (ECG-LVH) in adult diabetic subjects, its epidemiological and clinical correlates. METHODS: A descriptive cross-sectional study involving 534 patients was conducted at the Edward Francis Small Teaching Hospital (formerly Royal Victoria Teaching Hospital), The Gambia. Four hundred and forty patients were included using a standard questionnaire. Anthropometry, laboratory investigations and electrocardiogram were carried out. We used the Lewis, Cornell, and Sokolow-Lyon Voltage criteria to define ECG-LVH. Minitab™ statistical software version 13.20 was used for analysis. RESULTS: 146 (35.2%) patients had ECG-LVH using all 3 criteria and this prevalence was higher among women being 116 (79.5%). A generally high prevalence of overweight (155/37.4%) and obesity (119/28.6%) was observed among study participants, and both clinic-day systolic and diastolic blood pressure (BP) were significantly higher in those with ECG-LVH. Poor diabetes control was observed in both groups. CONCLUSION: There was a high prevalence of ECG-LVH and it is especially so with combining multiple criteria, hence the need for screening. Clinic-day hypertension was associated with ECG-LVH hence the need for diagnosing and aggressive treatment of hypertension in patients with diabetes mellitus.
BACKGROUND: The global prevalence of diabetes and its complications is increasing worldwide. Its role in coronary heart disease has been linked with the presence of left ventricular hypertrophy (LVH). The present study aims to determine the prevalence of electrocardiographic left ventricular hypertrophy (ECG-LVH) in adult diabetic subjects, its epidemiological and clinical correlates. METHODS: A descriptive cross-sectional study involving 534 patients was conducted at the Edward Francis Small Teaching Hospital (formerly Royal Victoria Teaching Hospital), The Gambia. Four hundred and forty patients were included using a standard questionnaire. Anthropometry, laboratory investigations and electrocardiogram were carried out. We used the Lewis, Cornell, and Sokolow-Lyon Voltage criteria to define ECG-LVH. Minitab™ statistical software version 13.20 was used for analysis. RESULTS: 146 (35.2%) patients had ECG-LVH using all 3 criteria and this prevalence was higher among women being 116 (79.5%). A generally high prevalence of overweight (155/37.4%) and obesity (119/28.6%) was observed among study participants, and both clinic-day systolic and diastolic blood pressure (BP) were significantly higher in those with ECG-LVH. Poor diabetes control was observed in both groups. CONCLUSION: There was a high prevalence of ECG-LVH and it is especially so with combining multiple criteria, hence the need for screening. Clinic-day hypertension was associated with ECG-LVH hence the need for diagnosing and aggressive treatment of hypertension in patients with diabetes mellitus.
Entities:
Keywords:
Diabetes mellitus; ECG-LVH; The Gambia; voltage criteria
Authors: J Galcerá-Tomás; A Melgarejo-Moreno; A García-Alberola; P Rodríguez-García; J Lozano-Martínez; J Martínez-Hernández; S Martínez-Fernández Journal: Int J Cardiol Date: 1999-06-01 Impact factor: 4.164
Authors: Rocio Enriquez; Robert Ssekubugu; Godfrey Kigozi; Dorean Nabukalu; Gaetano Marrone; Susanne Rautiainen; Bruna Gigante; Steven J Reynolds; Fred Nalugoda; Larry W Chang; Anna Mia Ekström; Nelson K Sewankambo; David Serwadda; Helena Nordenstedt Journal: Glob Heart Date: 2021-12-08