Is chronic diabetic foot ulcer an indicator of cardiac disease?
(2008) In Journal of Wound Care 17(1). p.12-16- Abstract
- 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.... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1021206
- author
- Löndahl, Magnus LU ; Katzman, Per LU ; Fredholm, O ; Nilsson, A and Apelqvist, Jan LU
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Wound Care
- volume
- 17
- issue
- 1
- pages
- 12 - 16
- publisher
- Emap Healthcare Limited
- external identifiers
-
- pmid:18210951
- scopus:40349116097
- ISSN
- 0969-0700
- language
- English
- LU publication?
- yes
- id
- fe3de3ad-1a05-4338-ad6e-0573eeba0ea9 (old id 1021206)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/18210951?dopt=Abstract
- date added to LUP
- 2016-04-04 09:10:43
- date last changed
- 2024-04-13 03:08:02
@article{fe3de3ad-1a05-4338-ad6e-0573eeba0ea9,
abstract = {{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.}},
author = {{Löndahl, Magnus and Katzman, Per and Fredholm, O and Nilsson, A and Apelqvist, Jan}},
issn = {{0969-0700}},
language = {{eng}},
number = {{1}},
pages = {{12--16}},
publisher = {{Emap Healthcare Limited}},
series = {{Journal of Wound Care}},
title = {{Is chronic diabetic foot ulcer an indicator of cardiac disease?}},
url = {{http://www.ncbi.nlm.nih.gov/pubmed/18210951?dopt=Abstract}},
volume = {{17}},
year = {{2008}},
}