A 50-YEAR-OLD WOMAN WITH HEART FAILURE WITH TYPE II DIABETES MELLITUS AND HYPERTENSION AS RISK FACTORS

Febrina Dwiyanti

Abstract


Background. Incidence of and mortality from heart failure is increasing in incidence, prevalence and overall mortality. Hypertension and insulin resistance are important risk factors for the development of heart failure (HF). Case. A 50-year-old woman complains of increasing exertional dyspnoea for the last 1 week and now has dyspnoea at rest. She has a history of hypertension for the last 25 years and type II diabetes mellitus for the last 8 years. On examination her BP is 200/110 mmHg, heart rate 102 bpm. There is a audible pansistolik murmur and the jugular venous pressure (JVP) is elevated 2 cm above normal. She has widespread crackles on chest examination. There is ankle oedema. She was diagnosed with heart failure NYHA class IV and treated with oxygen therapy, diuretics, ACE inhibtor, beta blocker, low-salt diet, restriction of fluid intake, and insulin therapy for diabetes mellitus. Conclusion. Patient was diagnosed with heart failure NYHA class IV with type II diabetes mellitus and hypertension precede the development of heart failure.

Keywords: Heart failure, diabetes mellitus, hypertension.

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