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Exercise ECG for Detection of Asymptomatic Coronary Artery Disease in Patients with Type 2 Diabetes Mellitus | ||
| Kirkuk Journal of Medical Sciences | ||
| Volume 12, Issue 2, October 2024, Pages 29-35 PDF (595.25 K) | ||
| Document Type: Original research | ||
| DOI: 10.32894/kjms.2024.145189.1103 | ||
| Authors | ||
| Omar Mowaffaq Fadhil* 1; Sabah Mohammed Zangana2 | ||
| 1Department of Internal Medicine, Azadi Teaching Hospital, Kirkuk, Iraq. | ||
| 2Department of Internal Medicine, College of Medicine, University of Kirkuk, Kirkuk, Iraq. | ||
| Abstract | ||
| Background: Around 425 million (6%) of humans are diabetics all over the world, and most of them are T2DM(>85%). Diabetes increases the incidence of asymptomatic coronary artery disease (CAD) by two to seven times when compared to non-diabetics. The study aimed to find out how common asymptomatic (subclinical) coronary artery disease (CAD) is in people with diabetes and how it connects to glucose management and the duration of type 2 diabetes using TMT in order to improve the detection rate of CAD. Methods: This observational research was conducted from October 2021 to April 2022 at Azadi Teaching Hospital in Kirkuk. This research comprised 103 individuals with a mean duration of 5.2 ± 4.2 years since complications starting from diagnosis of T2DM, a mean HbA1C of 7.9 ± 1.3 mg/dl who had been diagnosed with T2DM and were having a treadmill test. Patients with preexisting cardiac disease have been excluded from the study. Results: The exercise ECG finding showed that 23% of patients had positive Exercise ECG findings and being elderly, long duration of DM, having high HbA1C level, and having high diastolic blood pressure were found to be associated significantly with positive exercise ECG (p<0.05). For the categorical variables, being on insulin was associated signifi- cantly with positive exercise ECG in which patients on insulin have higher risk (Risk ratio=4.9), other factors did not demonstrate significant association with positive TMT. Conclusion: The prevalence of positive TMT was comparable to worldwide studies and being elderly, long duration of DM, high HbA1C level showed significant association with asymptomatic CAD findings. | ||
| Keywords | ||
| Type 2 diabetes; exercise ECG; coronary artery disease; asymptomatic | ||
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