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Dear Dr, Please Guide Whether Long Standing Diabetes And Hypertension

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Posted on Sun, 1 Sep 2019
Question: Dear Dr,

Please guide whether long standing Diabetes and Hypertension can lead to conduction defects and how can we relate this medical conditions on ECG and 2d echo. Kindly provide us the peculiar findings to be viewed on these investigations to correlate the conduction defect due to Diabetes or Hypertension
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Answered by Dr. Bhanu Partap (48 minutes later)
Brief Answer:
Please refer to detailed answer below

Detailed Answer:
Hi

Diabetes and hypertension can affect heart indirectly in many ways including conduction defects like lbbb and rbbb. Hypertension can cause increased thickening of heart muscles leading to increased qrs complex voltage on ecg. Diabetes can cause silent ischemic attack leading to stt changes on ecg.

On echo we can see increased thickening of heart muscles, diabetes can cause leakage in heart valves, also some patients develop cardiomyopathy.

Conduction defect on echo causes jerky septal movement and on ecg there can be rbbb or lbbb or intraventricular conduction defects.

Hope to have been helpful.

Kind regards
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4732 Questions

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Dear Dr, Please Guide Whether Long Standing Diabetes And Hypertension

Brief Answer: Please refer to detailed answer below Detailed Answer: Hi Diabetes and hypertension can affect heart indirectly in many ways including conduction defects like lbbb and rbbb. Hypertension can cause increased thickening of heart muscles leading to increased qrs complex voltage on ecg. Diabetes can cause silent ischemic attack leading to stt changes on ecg. On echo we can see increased thickening of heart muscles, diabetes can cause leakage in heart valves, also some patients develop cardiomyopathy. Conduction defect on echo causes jerky septal movement and on ecg there can be rbbb or lbbb or intraventricular conduction defects. Hope to have been helpful. Kind regards