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Case Report on Dilated Cardiomyopathy in Type 2 Diabetes mellitus Patient with Hypothyroidism


A. Bharath Kumar , M. S. Umashankar , A. Porselvi

Abstract

Dilated cardiomyopathy (DCM) is an idiopathic condition manifesting decreased contractility of heart, which is irreversible and slowly progressive. DCM, thyroid disorder and diabetes mellitus are the most interlinked symptomatology. Thyroid disease is a common endocrine disorder associated with diabetic cardiomyopathy. The complications which have been exhibited are contractile dysfunction, systolic dysfunction, ventricular dysfunction and diastolic dysfunction, ventricular diastolic and systolic dysfunction. A case study of a 75-year-old female patient visited the general medicine OPD with chief complaints of shortness of the breath, swelling of legs, chest discomfort, severe constipation, fatigue and palpitation. The patient was advised to have electrocardiogram which showed atrial fibrillation with ventricular tachycardia, and the chest X-ray which revealed cardiomegaly. The patient was also undergone echocardiogram which showed dilated cardiomyopathy with severely decreased left ventricular systolic function and a reduced left ventricular ejection fraction of 39%. Thyroid function test revealed a low hormone level. A regular treatment and continued patient’s follow up care were suggested to the patient, and she manifested a progressive development of her condition. The patient was prescribed with discharge medications, and advised for a follow-up care.



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