A Study of Left Ventricular Functionin Cases Of Stable Angina

Abstract

Background: Angina is a common initial manifestation of coronary heart disease7and a significant burden in primary care. Early identification of angina is important for the initiation of interventions to reduce the future risk of a more serious cardiac event. The echocardiography useful to assess left ventricular function. It is helpful for early identification of probability of adverse cardiac event Aims: To evaluate diastolic function & systolic function using technique of two dimensional echocardiography. Study Design: A randomized case study Methods: A cross-sectional study consisting of 43 cases of stable angina is undertaken to evaluate echocardiography finding particularly ventricular function. Inclusion criteria: Age: -31-60 years, Patient with hypertension. - Patient with positive treadmill test. Patient with coronary angiography>50% stenosis. Patient with diabetes. Exclusion criteria: patient with history of myocardial infarction, unstable angina -Patient with valvular heart disease.-Patient with chronic obstructive pulmonary disease. - Patient with rheumatic heart disease. - Patient with congenital heart disease. Results: Out of 43 patients of stable angina 39.53% were female and 60.46% were male, prevalence of diastolic dysfunction (79.06%) was more, but there is no association between diastolic and systolic dysfunction. Among diastolic dysfunction grade 1 diastolic function was most common which is 44.18% and systolic function was normal in 67.44%.Conclusion: In cases of stable angina diastolic function is more commonly impaired as compared to systolic function. Among diastolic dysfunction, grade 1 diastolic dysfunction (44.18%) was more prevalent in cases of stable angina. Grade 2 diastolic dysfunction with normal ejection fraction which is poor prognostic indicator was less commonly found (18.6%) of cases. [Shital G NJIRM 2017; 8(1): 41-43]