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Is chronic diabetic foot ulcer an indicator of cardiac disease?

Author:
  • Magnus Löndahl
  • Per Katzman
  • O Fredholm
  • A Nilsson
  • Jan Apelqvist
Publishing year: 2008
Language: English
Pages: 12-16
Publication/Series: Journal of Wound Care
Volume: 17
Issue: 1
Document type: Journal article
Publisher: Emap Healthcare Limited

Abstract english

OBJECTIVE: To evaluate presence and severity of cardiac disease in individuals with chronic diabetic foot ulcers using echocardiography. METHOD: Eighty consecutive patients with chronic foot ulcers attending the multidisciplinary diabetes foot clinic at Helsingborg Hospital underwent clinical examination, toe blood pressure measurement and a standard echocardiographic examination. RESULTS: Sixty-nine percent of the patients had a history of myocardial infarction and/or hypertension and/or heart failure; 78% had signs of left ventricular dysfunction and/or left ventricular hypertrophy and/or diastolic dysfunction; 76% of the patients without a history of cardiovascular disease had signs of cardiac dysfunction on echocardiography. CONCLUSION: Cardiac dysfunction is a common occurrence present in patients with chronic diabetic foot ulcers, even in those without known cardiac disease or hypertension. Echocardiography may be recommended as a screening procedure in the management of diabetic patients with chronic foot ulcers. The present study supports the view that diabetic chronic foot ulcers ought to be seen as a sign of cardiac disease, although further research is needed to elucidate this issue.

Keywords

  • Endocrinology and Diabetes
  • Other Clinical Medicine

Other

Published
  • Genomics, Diabetes and Endocrinology
  • ISSN: 0969-0700
E-mail: jan [dot] apelqvist [at] med [dot] lu [dot] se

Physician

Genomics, Diabetes and Endocrinology

+46 40 33 23 84

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Lund University Diabetes Centre, CRC, SUS Malmö, Jan Waldenströms gata 35, House 91:12. SE-214 28 Malmö. Telephone: +46 40 39 10 00