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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A STUDY OF TREAD MILLTESTING SCREENING FOR DETECTING SILENT ISCHEMIA AMONG DIABETIC PATIENTS
Author
Raghavendra Nagammanavar1, Hally Karibasappa2, Bellara Raghavendra3
Email
bellararaghu@gmail.com
keyword
Tread Mill Testing, Silent Ischemia, Diabetes Mellitus.
Abstract
Cardiovascular disease and Diabetes Mellitus (DM) occupy the first and eight places respectively in the list of killer diseases worldwide. Together, they account for over 7, 00,000 deaths a year in the U.S alone. The interplay between the two produces even more disastrous consequences in patients who suffer from both. Early recognition of coronary artery disease in diabetes may therefore be important for prognostic and management purposes. To investigate the usefulness of clinical and ECG findings during Treadmill test in detecting silent ischemic in asymptomatic diabetes and to identify any association between positive Treadmill test and other risk factors of Coronary heart disease. A case series study of 50 patients with diabetes mellitus was included in the study. Socio-demographic profile, clinical profile and risk factor profile of the patients was collected and subjected to Tread Mill testing with simultaneous ECG recording to look for signs of ischemia. Overall proportion of silent ischemia was 28%. A statistically significant association between proportion of silent ischemia and abnormal lipid profile, abnormal waist hip ratio and presence of complications. Diabetes mellitus is an important and major risk factor for silent ischemic heart disease where in Tread Mill Testing is important tool to screen and thereby help in early recognition of silent ischemia.
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