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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/28481
Title: A case study of cardiovascular disorders and its consequences in a patient with diabetes mellitus type 2 with metabolic dyslipidemia
Authors: Joseph, Daniel
Issue Date: 2024
Publisher: Instituţia Publică Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” din Republica Moldova
Citation: JOSEPH, Daniel. A case study of cardiovascular disorders and its consequences in a patient with diabetes mellitus type 2 with metabolic dyslipidemia. In: MedEspera: the 10th Intern. Medical Congress for Stud. and Young Doctors, 24-27 April 2024: abstract book. Chișinău, 2024, p. 56. ISBN 978-9975-3544-2-4.
Abstract: Introduction. The major aim of this case study is to analyse and understand the complicated relationship between cardiovascular disease, in a patient diagnosed with diabetes mellitus type 2 with a mixed complication stage along with dyslipidemia. Aim of Study: This study emphasis on the relationship between metabolic dyslipidemia and type 2 diabetes mellitus is one of the primary insights that may be achieved in order to comprehend complications within the cardiovascular system. Case statement. A 77 year-old male patient presented with angina and discomfort. A complex medical history of poor compensated chronic stages of diabetes mellitus type 2 and dyslipidemia was noted, which also affected the cardiovascular system. The negative consequences of cardiovascular system such as: atrial fibrillation, major septal right bundle branch block, signs of LV and RV hypertrophy, and ischemic repolarization changes in the anterior region in the patient. Studying this patient’s condition deserved a thorough analysis of physical examinations and paraclinical investigations, as well as the patient's diagnostic trajectory. Discussions. This case study report describes a 77-year-old male patient with a complex medical history. Clinical documentation used in the study includes hospital medical records, diagnostic investigation reports such as blood panels, ECGs, Echocardiography. The patient’s admission to the cardiology department the vital signs and further investigations and diagnostic tests were performed. Results: The patient’s baseline physical characteristics were as follows: height: 176 cm; weight: 98 kg; body mass index (BMI): 31.6 kg/m2. His vital signs were as follows: blood pressure: 110/70 mmHg; body temperature: 36.6 (C); pulse: 120 beats/min; respiratory rate: 20 breaths/min; and SpO2: 92%. Further investigations found a combination of poor compensated diabetes mellitus type 2, and dyslipidemia (cholesterol = 287 mg/dL). A three periodic glycemic profile of a day revealed 07:00– 7.8 mmol/l, 13:00– 7.9 mmol/l, 17:00, 17:00– 10.8 mmol/l. The electrocardiogram shows atrial fibrillation, major septal right bundle branch block, signs of LV and RV hypertrophy, and ischemic repolarization changes in the anterior region. Conclusion. Despite the overall condition of the patient, there were difficulties that remained to be addressed in managing complications related to cardiovascular complications. The complexity of this case is due to the chronic conditions of the patient, such as dyslipidemia associated with diabetes mellitus, which may also result in cardiovascular complications. This study emphasizes the need and the necessity for having a multidisciplinary approach in resolving cases such as this due to their complexity. relationship between cardiovascular disease, in a patient diagnosed with diabetes mellitus type 2 with a mixed complication stage along with dyslipidemia. Aim of Study: This study emphasis on the relationship between metabolic dyslipidemia and type 2 di abetes mellitus is one of the primary insights that may be achieved in order to comprehend complica tions within the cardiovascular system. Case statement. A 77 year-old male patient presented with angina and disco mfort. A complex medical history of poor compensated chronic stages of diab etes mellitus type 2 and dyslipidemia was noted, which also affected the cardiovascular system. The negative consequences of cardiovascular system such as: atrial fibrillation, maj or septal right bundle branch block, signs of LV and RV hypertrophy, and ischemic repolarization changes in the anterior region in the patient. Studying this patient’s condition deserved a thorough analysi s of physical examinations and paraclinical investigations, as well as the patient's diag nostic trajectory. Discussions. This case study report describes a 77-year-old male patien t with a complex medical history. Clinical documentation used in the study includes hospital medical records, diagnostic investigation reports such as blood panels, ECGs, Echocardio graphy. The patient’s admission to the cardiology department the vital signs and further inv estigations and diagnostic tests were performed. Results: The patient’s baseline physical chara cteristics were as follows: height: 176 cm; weight: 98 kg; body mass index (BMI): 31.6 kg/m2. His vital s igns were as follows: blood pressure: 110/70 mmHg; body temperature: 36.6 (C); pulse: 120 beats/mi n; respiratory rate: 20 breaths/min; and SpO2: 92%. Further investigations found a combinati on of poor compensated diabetes mellitus type 2, and dyslipidemia (cholesterol = 287 mg/dL). A three periodic glycemic profile of a day revealed 07:00– 7.8 mmol/l, 13:00– 7.9 mmol/l, 17:00, 17:00– 10.8 mmol/l. The electrocardiogram shows atrial fibrillation, major septal right bundle branch block, signs of LV and RV hypertrophy, and ischemic repolarization changes in th e anterior region. Conclusion. Despite the overall condition of the patient, there were difficulties that remained to be addressed in managing complications related to cardiovascu lar complications. The complexity of this case is due to the chronic conditions of the pati ent, such as dyslipidemia associated with diabetes mellitus, which may also result in cardiovasc ular complications. This study emphasizes the need and the necessity for having a multidisciplinary approach in resolving cases such as this due to their complexity.
metadata.dc.relation.ispartof: MedEspera: The 10th International Medical Congress for Students and Young Doctors, 24-27 April 2024, Chișinău, Republic of Moldova
URI: https://medespera.md/en/books?page=10
http://repository.usmf.md/handle/20.500.12710/28481
ISBN: 978-9975-3544-2-4
Appears in Collections:MedEspera 2024

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