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Is chronic diabetic foot ulcer an indicator of cardiac disease?

Löndahl, Magnus LU ; Katzman, Per LU ; Fredholm, O ; Nilsson, A and Apelqvist, Jan LU (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)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Wound Care
volume
17
issue
1
pages
12 - 16
publisher
MA Healthcare Ltd
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
2025-01-06 05:05:13
@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    = {{MA Healthcare Ltd}},
  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}},
}