A Cross Sectional Study among Type 2 Diabetes Cases with Silent Myocardial Ischaemia in a Tertiary Care Center in a Northern Maharahstra

ABSTRACT

Introduction: Silent myocardial ischemia is definedas objective evidence of myocardial ischemia withoutangina or angina equivalent. In Framingham study, 30% ofmyocardial infarcts were silent, diagnosed only by serialelectrocardiography. There is increasing evidence thatasymptomatic myocardial infarctions and silent ischemiaoccur more frequently in diabetic patients. So present studywas done to record the prevalence of silent myocardialischemia in asymptomatic patients of type 2 diabetes mellitus.Material and methods: The present study was a crosssectional study, carried out among 88 randomly selectedpatients of type 2 diabetes mellitus for more than 1 year,patients >18 years of age, who do not have any symptomsrelated to cardiovascular system.Results: Our study shows that the prevalence of silent MIamong patients with DM was 20.45%. It was reported inthe present study that the mean fasting and post prandialblood sugar among patients was 162.23±12.18 mg/dl and192.4±21.29 mg/dl respectively.Conclusion: Our study shows that the prevalence of silent MIamong patients with DM was 20.45%. In our study majorityof cases of silent myocardial ischemia were found in patientswith age group of >50 years, patients with duration of diabetesmellitus of 5-10 years