Is chronic diabetic foot ulcer an indicator of cardiac disease?

Journal of Wound Care
M LöndahlJ Apelqvist

Abstract

To evaluate presence and severity of cardiac disease in individuals with chronic diabetic foot ulcers using echocardiography. 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. 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. 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.

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Citations

May 9, 2008·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·G RümenapfA Radu
Dec 24, 2013·Journal of Diabetes and Its Complications·Anne Karin MolværMarjolein M Iversen
May 7, 2013·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T ElgzyriJ Apelqvist
Jul 23, 2016·Journal of Diabetes Research·Beverly T RodriguesUsman H Malabu
May 24, 2013·Journal of the American Podiatric Medical Association·Crystal L RamanujamThomas Zgonis
May 7, 2021·Diabetes Research and Clinical Practice·Baruch Itzhak, Philip Home
Jul 16, 2021·SAGE Open Medicine·Targ ElgzyriMagdalena Annersten Gershater

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