Is chronic diabetic foot ulcer an indicator of cardiac disease?
Author
Summary, in 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.
Department/s
Publishing year
2008
Language
English
Pages
12-16
Publication/Series
Journal of Wound Care
Volume
17
Issue
1
Links
Document type
Journal article
Publisher
Emap Healthcare Limited
Topic
- Endocrinology and Diabetes
- Other Clinical Medicine
Status
Published
Research group
- Translational Muscle Research
ISBN/ISSN/Other
- ISSN: 0969-0700