Study of myocardial ischemia implying echo images and Heart Rate Variability data

Abstract

Cardiac diseases contribute to 28.9% of the total deaths. Number of young newlinepopulation suffering from cardiac disease is rapidly increasing. India is the largest newlinecontributor in cardiac deaths. The diagnostic technology, equipments and quality of newlinecardiac care in India is at par in comparison with the developed western countries. newlineThe drawback is due to the severely low ratio of cardiologist to normal population, newlinethe lack of medical help reaching the vast population and lack of awareness about newlinethe disease and factors causing the disease. newlineMyocardial ischemia / infarction are a major contributor of cardiac deaths. newlineMyocardial ischemia / infarction are more prevalent in diabetic subjects than the newlinenormal population. Subjects with history of type II diabetes, (diabetes mellitus), newlinesuffer from faster deterioration of cardiac performance. The current diagnostic newlinepractice has a drawback of assessing the cardiac prognosis and risk stratification newlinebased only on the prevailing cardiac performance status. The cardiac health slowly newlinedeteriorates and there are no clinically visible symptoms at this stage. In prevailing newlinediabetic, diabetic and hypertensive conditions, there is necrosis of nutrients due newlineocclusion in blood vessels leading to death of the death of the muscle. If blood newlinesupply to left ventricular wall is restricted, the death of left ventricular wall muscle newlineleads to myocardial ischemia. Myocardial ischemia reduces the contractility and Left newlineVentricular Ejection Fraction (LVEF). Advanced ischemic condition leads to newlineirreversible death of left ventricular muscle causing myocardial infarction. This is a newlinecomplication in prevailing diabetic condition, that severely affects the cardiac newlineperformance and can be avoided by preclinical diagnostic indicators. newline