European Journal of Cardiovascular Medicine

Background: Diastolic dysfunction in young adults is associated with increased morbidity and mortality. The identification of prospective risk markers associated with diastolic dysfunction could allow for targeted primary prevention efforts. We try to establish the correlation between the fatty liver with diastolic dysfunction in normotensive young patients under 40 years of age. Method: This cross-sectional analytical study was conducted between April 2021 and March 2022 in Sanjay Gandhi Memorial Hospital associated with Shyam Shah Medical College, Rewa. It included 214 normotensive cases under 40 years with fatty liver. Patient information, clinical examination, and various tests were conducted to assess diastolic dysfunction. The collected data was compared with previous studies for analysis. Results: Out of 214 cases 105 (49%) were male and 109 were female (51%). Mean age of the patients was 27.84 ± 8.27 years. Out of 214 patient’s normal diastolic dysfunction found in 167 (78.04%) cases followed by the 26 (12.15%) cases had grade- 1, 15 (7.0%) cases had grade 2 and 06 (2.81%) patients had grade 3 diastolic dysfunction.  Among all cases 180 (84.11%) of the patients had grade 1 fatty liver out of which 156 (86.66%) had no diastolic dysfunction, while the 17 (9.44%) cases had grade- 1, 6 (3.33%) had grade 2, and 1 (0.55%) patient had grade 3 diastolic dysfunction. 29 (13.55%) cases were found to have grade 2 fatty liver out of which 6 (20.68%) had no diastolic dysfunction, while the 9 (31.03%) cases had grade- 1, 9 (31.03%) had grade 2, and 5 (17.25%) patients had grade 3 diastolic dysfunction. 5 (2.33%) cases found to have grade 3 fatty liver all 5 (2.33%) were found to have no diastolic dysfunction.  Conclusion: The prevalence of diastolic abnormalities in adults under 40 years with fatty liver was 21.9%, indicating a significant correlation. Clinicians should consider cardiovascular risks and undertake early risk factor modification.