Background: Iron deficiency anaemia is the leading cause of heart failure in ckd patients. this study was done to study the incidence of heart failure in diabetic kidney disease patients in government general hospital. Materials and Methods: This Prospective Observational study was done for one year in tertiary care Hospital. A total of 100 cases male and female admitted for dialysis were studied based on inclusion and exclusion criteria. All patients were done routine investigations including iron studies, urine for microalbuminuria, 2 decho and thoroughly elicited for history of diabetes. Patients below 12 years, pregnant women and patients with previous bleeding manifestations and heart ailments prior to onset of diabetes were excluded from the study. The study was carried out in all patients fulfilling the inclusion and exclusion criteria. Results: A total of 100 patients 60 males and 40 females presented during the study period. Heart failure was more prevalent in diabetics in age group of 40-60 years.[>60yrs. [25] > 60 yrs [20], 20-40 yrs[8] out of these DM > 5YRS were 4 in 20-40 yrs,16in 40-60 yrs,18 in > 60 yrs. Microalbuminuria was present in 4 patients in 20-40 yrs,16 patients in 40-60 yrs,18 in >60 yrs age group with abnormal renal parameters. IDA was present in 12 patients in 20-40 yrs, 40 patients in 40-60 yrs, and 10 patients in > 60 yrs. Conclusion: It was Observed from the study that ida was leading cause of heart failure in patients with ckd. Even in those patients without prolonged dm history. anaemia was leading to heart failure with microalbuminuria.

Background: Iron deficiency anaemia is the leading cause of heart failure in ckd patients. this study was done to study the incidence of heart failure in diabetic kidney disease patients in government general hospital. Materials and Methods: This Prospective Observational study was done for one year in tertiary care Hospital. A total of 100 cases male and female admitted for dialysis were studied based on inclusion and exclusion criteria. All patients were done routine investigations including iron studies, urine for microalbuminuria, 2 decho and thoroughly elicited for history of diabetes. Patients below 12 years, pregnant women and patients with previous bleeding manifestations and heart ailments prior to onset of diabetes were excluded from the study. The study was carried out in all patients fulfilling the inclusion and exclusion criteria. Results: A total of 100 patients 60 males and 40 females presented during the study period. Heart failure was more prevalent in diabetics in age group of 40-60 years.[>60yrs. [25] > 60 yrs [20], 20-40 yrs[8] out of these DM > 5YRS were 4 in 20-40 yrs,16in 40-60 yrs,18 in > 60 yrs. Microalbuminuria was present in 4 patients in 20-40 yrs,16 patients in 40-60 yrs,18 in >60 yrs age group with abnormal renal parameters. IDA was present in 12 patients in 20-40 yrs, 40 patients in 40-60 yrs, and 10 patients in > 60 yrs. Conclusion: It was Observed from the study that ida was leading cause of heart failure in patients with ckd. Even in those patients without prolonged dm history. anaemia was leading to heart failure with microalbuminuria.