Abstract
Background: Diabetes mellitus (DM) can lead to heart failure. This is partly related to the presence of hypertension or dyslipidemia in association with DM or the occurrence of ischemic heart diseases.
Aim: To study the relation between DM and ejection fraction (EF) in elderly not known to have hypertension or ischemic heart disease.
Methods: 190 elderly patients were included in the study. They were divided into cases and controls according to the presence or absence of DM. Echocardiography was done and blood samples were collected to measure glycated hemoglobin (HbA1c) and lipid profile.
Results: EF was lower in cases Both HbA1c and duration of DM showed an inverse correlation with EF (P value >
0.001)
Conclusions: DM is associated with reduced EF & the occurrence of heart failure which is related to both the control and the duration of DM.