ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở BỆNH NHÂN SUY TIM MẠN KÈM ĐÁI THÁO ĐƯỜNG TÝP 2 TẠI BỆNH VIỆN ĐA KHOA KIÊN GIANG NĂM 2021-2022

Abstract

Background: Heart failure was one of the most common diseases and a serious complication experienced by 20-40% of patients with diabetes. Objectives: 1. Describe some clinical features in patients with heart failure with type 2 diabetes. 2. Describe some subclinical features in patients with heart failure with type 2 diabetes. Materials and methods: A cross-sectional descriptive study on 35 patients with heart failure and type 2 diabetes who came for examination and treatment at Kien Giang General Hospital from April 2021 to April 2022, and analyzed the data using SPSS 18.0 software. Results: Physical symptoms of fatigue appeared in of patients, exertional dyspnea was 78.6%; loss weight was 69.0%, lower costal pain was 61.9%, heart attack and acute pulmonary edema were 42.9%. Ankle edema is the most common physical symptom in 88.1% of patients, heart murmur was 66.7%, followed by left-sided heart, accounting for 59.5% and less common symptoms were jugular vein distension in 23.8%, cyanosis of the skin and mucous membranes was 21.4%. Patients with increased fasting glucose concentration (>7,2mmol/l) accounted for 88.1%; the patient's HbA1c index (≥7%) was 95.2%; Patients with ejection fraction 45% accounted for 38.1%. Conclusions: The most common symptoms were fatigue (92.9%), exertional dyspnea, chest pain, loss weight, lower costal tenderness; ankle edema is the most common physical symptom (88.1%); the patient's paraclinical indexes such as fasting glucose concentration, HbA1c index, NT-proBNP, ejection fraction all increased.