Treadmill test as a screening tool for detecting silent myocardial ischemia in type 2 diabetes patients: a case control study from Raipur, Chhattisgarh, India

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dc.contributor.authorSharma, C. S.en_US
dc.contributor.authorSingh, Suyashen_US
dc.contributor.authorPatel, R. K.en_US
dc.contributor.authorMishra, V. N.en_US
dc.contributor.authorGupta, Shashanken_US
dc.contributor.authorTakalkar, Anant A.en_US
dc.date.accessioned2020-04-09T07:43:56Z
dc.date.available2020-04-09T07:43:56Z
dc.date.issued2020-03
dc.description.abstractBackground: The incidence of diabetes mellitus (DM) is increasing substantially worldwide. CAD silently progresses over years in the diabetics. Diabetic individual appears to be less able to perceive some of the symptoms and signs of ischemia or may have asymptomatic ‘classic silent ischemia’. Thus, screening for early detection of asymptomatic CAD in type 2 diabetes may be helpful to prevent these catastrophic cardiac events and consequent deaths. Objectives of the study was to assess utility of TMT in Type 2 diabetic mellitus subjects to detect silent myocardial infarction.Methods: Hospital based observational analytical case control study was conducted in Department of Medicine in Dr BRAM Hospital Raipur during August 2016 to September 2018. Cases were 45 subjects of Type 2 Diabetes mellitus with normal ECG and controls were 45 subjects of Type 2 Diabetes Mellitus with abnormal resting ECG. Data analyzed using SPSS 17 version.Results: Majority i.e. 40% were found to be in fifth decade of their life. 71 (78.9%) male subjects and 19 (21.1%) female subjects. TMT was found positive in 8(17.8%) subjects with positive ECG changes whereas in 12(26.7%) subjects with no ECG changes. No significant difference was noted between distribution of any parameters except for hypertension which was found to be significantly higher in TMT positive subjects compared to TMT negative subjects.Conclusions: No significant difference was observed regarding TMT findings between T2DM subjects with and without ECG changes. Type 2 diabetes mellitus subjects with dyslipidemia, and hypertension are at higher risk of Positive TMT.en_US
dc.identifier.affiliationsDepartment of Medicine Pt JNM Medical College and Dr. B. R. Ambedkar Memorial Hospital, Raipur, Chhattisgarh, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine Pt JNM Medical College and Dr. B. R. Ambedkar Memorial Hospital, Raipur, Chhattisgarh, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine Pt JNM Medical College and Dr. B. R. Ambedkar Memorial Hospital, Raipur, Chhattisgarh, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine Pt JNM Medical College and Dr. B. R. Ambedkar Memorial Hospital, Raipur, Chhattisgarh, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, MIMSR Medical College and YCRH, Latur, Maharashtra, Indiaen_US
dc.identifier.citationSharma C. S., Singh Suyash, Patel R. K., Mishra V. N., Gupta Shashank, Takalkar Anant A.. Treadmill test as a screening tool for detecting silent myocardial ischemia in type 2 diabetes patients: a case control study from Raipur, Chhattisgarh, India. International Journal of Advances in Medicine. 2020 Mar; 7(3): 391-396en_US
dc.identifier.issn2349-3925
dc.identifier.issn2349-3933
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/194647
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3933.ijam20200501en_US
dc.subjectSilent MIen_US
dc.subjectScreening toolen_US
dc.subjectTrade millen_US
dc.subjectType 2 diabetesen_US
dc.titleTreadmill test as a screening tool for detecting silent myocardial ischemia in type 2 diabetes patients: a case control study from Raipur, Chhattisgarh, Indiaen_US
dc.typeJournal Articleen_US
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