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Jan Apelqvist

Physician

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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

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

  • Medicine, Lund
  • Genomics, Diabetes and Endocrinology

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

Topic

  • Endocrinology and Diabetes
  • Other Clinical Medicine

Status

Published

Research group

  • Genomics, Diabetes and Endocrinology

ISBN/ISSN/Other

  • ISSN: 0969-0700