----------------------- Advertisement --------------------------
Q&A
If you have any query about any medical problem get an answer from an expert
  Comments: Read | Post

What is the normal range of left ventricular ejection fraction (LVEF) in a diabetic patient?

Wednesday, 12 December 2007
Answered by: Dr. O.P. Yadava
Consultant Cardiac Surgeon, CEO
National Heart Institute and Research Centre
New Delhi
Google Buzz

Q. What should be the normal percentage of LVEF in the echo report for a person who is diabetic for the last 14 years and hypertensive for the last 10 years? Is it possible that a diabetic patient would not have symptoms of chest pain during heart attacks?

A.  LVEF or left ventricular ejection fraction in a normal person should be in the range of 60-70 percent. Presence of diabetes, high blood pressure, does not change the values of normal ejection fraction. However, in patients with long standing high blood pressure and diabetes mellitus, there may be some deterioration in the function of the heart, both in terms of its contraction and its relaxation. Diabetes patients have damage to the nerve endings (autonomic denervation) and therefore may not have the classical chest pain of either angina or heart attack and may have atypical symptoms in form of breathlessness, sinking sensation, increased sweating, gas or abdominal distension, restlessness or some times no symptoms.

A.  LVEF or left ventricular ejection fraction in a normal person should be in the range of 60-70 percent. Presence of diabetes, high blood pressure, does not change the values of normal ejection fraction. However, in patients with long standing high blood pressure and diabetes mellitus, there may be some deterioration in the function of the heart, both in terms of its contraction and its relaxation. Diabetes patients have damage to the nerve endings (autonomic denervation) and therefore may not have the classical chest pain of either angina or heart attack and may have atypical symptoms in form of breathlessness, sinking sensation, increased sweating, gas or abdominal distension, restlessness or some times no symptoms.

Comments: Read | Post
More from this section
More ยป
Post comments
We request you not to tell us about your medical problems through this comment tool.
We are unable to keep track of the innumerable queries and their answers that we get everyday unless they are sent through "Ask a Question"

Name:*   E-mail:*
City:   Phone:
Comments:* 7000 characters remaining
Spam protection
Enter the code:*
Disclaimer: Material sent in this section is contributed by users. DoctorNDTV accepts no responsibility for the content or accuracy of such material and does not endorse or subscribe to the content.
----------------------- Advertisement4 --------------------------
 
Latest Photos
 
 
Survey
Radiation and health outcomes

The effect radiation has on human health has been the subject of recent interest.

-------------------------------- Advertisement -----------------------------------