Detection of Asymptomatic Coronary Artery Disease (CAD) in Newly detected Type 2 Diabetes Mellitus (DM) by Exercise Treadmill Test
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 11
Abstract
Introduction: Diabetes mellitus is one of the leading and main threats to human health in the 21st century. Study aimed to detect the prevalence of asymptomatic coronary artery disease (CAD) in newly diagnosed cases of type 2 diabetes mellitus by exercise tread mill test (TMT). Material and Methods: This cross sectional study was conducted in the department of Medicine, Acharya Vinoba Bhave Rural Hospital and Jawaharlal Nehru Medical College, Sawangi (M) Wardha. Two hundred newly detected diabetic cases were selected from patients coming to medicine OPD and admitted in medicine ward. All cases went through a detailed history, physical examination and tread mill test (TMT) to detect silent ischemia. Hundred age and sex matched healthy controls were taken for comparison. Results: In this study, the prevalence of asymptomatic CAD in newly detected cases of type 2 DM was 11%. Uncontrolled HTN, raised BMI (>23 kg/m2), raised waist circumference (>90 cm in males/>80 cm in females), raised total cholesterol levels and raised triglycerides were significantly associated with cases of newly detected type 2 DM (p<0.05%). Conclusion: Newly detected cases of type 2 DM form a vulnerable population for asymptomatic CAD. Cases of newly detected type 2 should be thoroughly screened for other co -morbid conditions like hypertension, obesity, abdominal obesity and dyslipidemia. The exercise stress test is a simple, noninvasive, cost effective and comparatively less complicated tool to diagnose asymptomatic CAD.
Authors and Affiliations
Amit Daphale, Sourya Acharya, Samarth Shukla
Keywords
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