Anurag S Lavekar
NKP Salve Institute of Medical Sciences and Research Centre,
Hingna, Nagpur, Mahara
India
Research Article
Treadmill Test to Detect Stress Induced Ischemic Heart Disease in Type 2 Diabetes Mellitus Patients Asymptomatic for CAD: A Hospital Based Cross-sectional Study in Rural Population of Central India
Author(s): Anurag S Lavekar and Harsha R SalkarAnurag S Lavekar and Harsha R Salkar
Background: Progressive Coronary Artery Disease (CAD) remains asymptomatic in many cases of type 2 diabetes mellitus (DM) and this makes diagnosis difficult. Routine screening of type 2 DM for silent ischemia with electrocardiography (ECG) remains controversial as majority of patients present with normal ECG. This study aims at using Treadmill Test (TMT) to determine the percentage of ischemic heart disease (IHD) in diabetic patients, having normal resting ECG and 2D Echo, in a rural set up of Central India. Moreover, the interest is to determine the risk factors for IHD in patients who underwent TMT.
Materials and methods: One hundred sixty one type 2 DM patients in the age range 30-60 years with normal baseline ECG and resting Echo were screened by TMT. The data on demographics, biochemical tests and micro vascular complications was obtained for each patient to determine the.. View More»