STUDY OF TYPE II DIABETES MELLITUS PATIENTS OF ASYMPTOMATIC HEART DISEASE BY NONINVASIVE METHOD IN TRIPURA- A HOSPITAL-BASED STUDY

Abstract

BACKGROUND Macro-vascular complications of diabetes mellitus remain the major cause of morbidity and mortality in diabetes today. The objectives of this study were- 1. Assessment of magnitude of asymptomatic heart disease among diabetic patients 2. Evaluation of role of treadmill test or echocardiography or both over resting ECG in diagnosis of asymptomatic heart disease in those patients. MATERIALS AND METHODS The study was carried out among 253 type 2 diabetes patients. A pre-tested, pre-designed, structured interview schedule was used for data collection. Systematic random sampling technique was used to select the individual study subject. All the patients were subjected to 12 lead ECG in rest, Tread Mill Test & Echocardiography to find out any specific and or nonspecific ischaemic changes. RESULTS There were 60.9% male & 39.1% female patients with sex ratio of 1.5:1 and age ranges from 35 to 80 years. There was positive correlation with age of majority of patients with significant effect with asymptomatic heart disease (AHD). CONCLUSION For detection of AHD, TMT and ECHO combined were more effective. Diastolic dysfunction screening test for early detection of AHD in diabetes is very important. There may be some benefit of screening by non-invasive method to diagnose AHD early in diabetes so as to prevent morbidity and mortality as CAD remains single most common cause of death in this population. But most of the patients failed to recognize the classic symptoms of myocardial ischemia.