FREQUENCY OF POSITIVE EXERCISE TOLERANCE TEST FOR SILENT MYOCARDIAL ISCHEMIA IN ASYMPTOMATIC UNCOMPLICATED TYPE 2 DIABETIC PATIENTS

Exercise Tolerance Test For Silent Myocardial Ischemia P

Authors

  • Waqas Khalid Combined Military Hospital Landi Kotal Pakistan
  • Aliya Halim Combined Military Hospital Landi Kotal Pakistan
  • Amjad khan Pakistan Military Academy Kakul Pakistan

Keywords:

Asymptomatic type 2 diabetes, ECG, ETT, Silent ischemic heart disease

Abstract

Objective: To determine the frequency of positive exercise tolerance test (ETT) for silent myocardial ischemia in asymptomatic uncomplicated type 2 diabetic patients.
Study Design: Descriptive- cross sectional study.
Place and Duration of Study: Department of medicine, Pakistan Navalship (PNS) Shifa Karachi from November 2011 to May 2012.
Material and Methods: A total of 135 patients with type 2 diabetes mellitus of more than five years duration were included in the study without any history of chest pain and having no evidence of complications (neuropathy, nephropathy, retinopathy) using non probability-consecutive sampling technique. Relevant history and investigations were done to exclude other risk factors for ischemic heart disease such as smoking, obesity, hyperlipidemia and hypertension. ETT was used as the main tool to detect silent myocardial ischemia. Data was collected through a pre-designed proforma and analyzed using SPSS version 11.
Results: The study revealed that frequency of positive ETT for silent myocardial ischemia in uncomplicated asymptomatic type 2 diabetic patients was 35.56% (n=48) while 64.44% (n=87) had no findings of silent myocardial ischemia.
Conclusion: The frequency of positive ETT for silent myocardial ischemia in our study was 35.56%. Thus, ETT being non-invasive should be performed as a preliminary investigation for detection of silent myocardial ischemia in every patient of type 2 DM of more than 5 years duration.

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Published

28-02-2017

How to Cite

1.
Khalid W, Halim A, khan A. FREQUENCY OF POSITIVE EXERCISE TOLERANCE TEST FOR SILENT MYOCARDIAL ISCHEMIA IN ASYMPTOMATIC UNCOMPLICATED TYPE 2 DIABETIC PATIENTS: Exercise Tolerance Test For Silent Myocardial Ischemia P. Pak Armed Forces Med J [Internet]. 2017 Feb. 28 [cited 2024 May 23];66(1):79-82. Available from: https://pafmj.org/PAFMJ/article/view/301

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