XVII SCIENTIFIC FORUM CUBAN MEDICAL COLABORATION IN NAMIBIA

Tittle: Cardiovascular complications in patients attended in the Diabetic Clinic of Katutura State Hospital.

Authors : Dr Luzimin González García. : Dr Víctor Manuel Rivas Gómez.

Windhoek 2013.

INTRODUCCION:Diabetes mellitus (DM) is an increasingly

common medical condition affecting approximately 8% of the population of the United States.

Patients with diabetes are at increased risk for microvascular and macrovascular complications.

OBJETIVES:General.To characterize the main cardiovascular complications in diabetics

patients assisted in the Clinic for diabetics in the State Hospital of Katutura.

Specific:1- To characterize the illnesses by sex and age.2- To determine the occurrence of cardiovascular complications

according to the type of diabetes.3- To identify the appearance of cardiovascular complications

taking into account the way in which they emergency.4- To determine the survival per cent to complications.5- To know the response to the treatment applied to the

patients.

Table 1: Attended patients in the Diabetes Clinic according to the type of Diabetes.

Complications

Type of Diabetes Mellitus

DMI % DMII Total Without Complications 8

42 50

Cardiovascular complications 50

495 545 No Cardiovascular complications 135

100 235

Total 193

637 830

Table 2 : Distribution by sex and age.

Age Sex Total

Male Female

13-20 2 1 3

21-30 12 10 22

31-40 33 42 75

41-50 84 78 162

51-60 93 59 152

61-70 23 37 60

71-80 28 32 60

81 y mas 3 8 11

Total 278 267 545

Table 3: Classification of the cardiovascular complications taking into account their

appearance.

Complications Type of Diabetes Mellitus

DMI % DMII %

Acute 8 1.4 42 7.7

Subacute 3 0.5 38 6.9

Chronic 120 22 334 61.28

Total 131 23.9 414 75.88

Table 4: Acute complications in diabetics’ patients.

Acute Type of Diabetes Mellitus

Complications DMI % DMII %

Acute Myocardial Infarction 2 4 3 6

Priztmetal Angina 0 0 7 14

Arrytmias 1 2 3 6

Acute Renal Failure 2 4 6 12

Ischaemic Gangrena 0 0 2 4

Severe Hypertension 0 0 11 22

Stroke 0 0 5 10

Cerebral Haemorrage 1 2 0 0

Amputations 2 4 5 10

Total 8 16 42 84

Table 5: Subacute complications in diabetes patients.

Subacute complications Type of Diabetes Mellitus

DMI % DMII %

Angina Pectoris 1 2.4 11 26.8

Diabetic feet 2 4.8 27 65.8

Total 3 7.2 38 92.6

Table 6: Chronic complications in diabetes patients. Chronic Complications

Type of diabetes mellitus. DM I DM II Total

Chronic cardiac failure 27 54 81 Arrhytmia 34 80 114 Hypertension 42 302 345 Chronic renal failure 36 82 118 Diabetic feet 16 211 227 Peripheral polineuropathy 68 68 136 Diabetes retinopathy 5 5 10 Plexitis 4 4 8 Diabetes Amyotrophic 15 15 30 Hyperuricemic 89 121 210 Hypercholeteronemic 12 210 222 Dementia 0 89 89

Table 7: Survival of assisted diabetics patients.

Complications Alive % Death %

Acute 46 8.4 4 0.7 Subacute 39 7.1 2 0.3 Chronic 434 79.6 20 3.6 Donnt know 0 0 0 0 Total 519 95.1 26 4.6

Table 8: Response to the applied treatment.

Treatment No % No Pharmacologic Treatment 132 24.22

Pharmacologic Treatment 344 61.28 Surgical Treatment 10 1.8

Total 486 87.3

CONCLUSIONS: The most outstanding group according to the age was that one of 41 to 50

and according to sex male was the predominant one.

The cardiovascular complications took place in 545 patients with 454

chronic complications mostly in the diabetics type II and the Arterial

Hypertension was the most frequent

26 patients died was represents 4.6- % of the sample while 519 of the

patients are still alive.

The response to the treatment in 334 patients with cardiovascular

complications was positive representing 61.28%.

RECOMMENDATIONS:-To implement programs throughout the mass media for

the education of diabetic patients.

-To facilitate glucometer for and excellent metabolic control as well as specialized bibliography.

-To implement that programs in all local clinic in the regions and in the capital also.

THANK YOU