A STUDY ON SILENT MYOCARDIAL ISCHAEMIA/ OLD MYOCARDIAL INFARCTION IN PATIENT WITH TYPE-2 DIABETES MELLITUS

Dr.Sudhir Kumar; Dr.Pankaj Hans; Dr.Akanksha Sinha

Volume : VIII, Issue : I, January - 2019

A STUDY ON SILENT MYOCARDIAL ISCHAEMIA/ OLD MYOCARDIAL INFARCTION IN PATIENT WITH TYPE-2 DIABETES MELLITUS

Dr. Sudhir Kumar, Dr. Pankaj Hans, Dr. Akanksha Sinha

Abstract :

Background: Correlation between DM and cardiovascular disease, specially ischaemic heart disease is of immense importance.The cardiac autonomic neuropathy (CAN) due to diabetes is responsible for the reduced pain perception manifesting as silent myocardial ischaemia. The incidence of silent MI is much higher in diabetes population compared to their non–diabetic counterpar Aim: To determine the prevalence of silent myocardial ischaemia in Type 2 DiabetesMellitus patient. Material and Methods. This Prospective study included patients with type 2 Diabetes Mellitus with age >30 years. A total of 100 patients with type 2 DM were included in the study. Control group comprised of 100 patients, age and sex matched, without history of or documentation of type–2 DM. The study was conducted from 4, May 2016 to 25 Deccember 2018. Result: Out of 100 patients with Type 2 DM, 25 (25%) had detectable silent myocardial ischaemia whereas 5 (5%) out of the 100 nondiabetic patients had silent myocardial ischaemia. Conclusion:Silent myocardial ischaemia is more frequent in type 2 Diabetic Mellitus.