Abdominal aortic diameter as a predictor of early cardiovascular dysfunction in asymptomatic diabetic elderly

Moatassem S Amer; Hoda MF Wahba

Volume : V, Issue : III, March - 2015

Abdominal aortic diameter as a predictor of early cardiovascular dysfunction in asymptomatic diabetic elderly

Moatassem S Amer, Hoda Mf Wahba

Abstract :

Background and objective: In the presence of type II diabetes, the prevalence of all cardiovascular disease (including carotid stenosis, abdominal aortic aneurysm, and peripheral artery disease) is doubled. The aim of this study was to correlate abdominal aortic diameter with early cardiovascular dysfunction in asymptomatic diabetic elderly. Methods: Case–control study, 60 diabetic patients and 60 nondiabetic patients, age and sex matched no symptoms of any heart disease. Consent, medical history, blood sample (fasting blood sugar, lipid profile, C–reactive protein), abdominal ultrasound (abdominal aortic diameter at iliac bifurcation) and trans–thoracic echocardiography were done. Results: Negative significant correlation between ejection fraction and abdominal aortic diameter in both genders (r = –0.259, p = 0.045). Conclusion: enlarged abdominal aortic diameter can indicate early cardiovascular dysfunction in the form of decreased ejection fraction in asymptomatic diabetic elderly and these results can be applied to both genders.