Frequency of silent myocardial ischaemia in diabetics: a single centre study.

نویسندگان

  • Adil Sheikh
  • Syed Shah Faisal
  • Abdul Jabbar
چکیده

OBJECTIVE To find the frequency of silent myocardial ischaemia in diabetics as compared to non-diabetics. METHODS This was a cross sectional study conducted between November 2008 and March 2010. Two hundred subjects were recruited by convenience sampling after informed consent. All were subjected to an exercise stress test. Electrocardiographic changes were noted for silent Ischaemia Descriptive Statistics were applied for significance. RESULT Of the 200 subjects included in the study, 31 had diabetes and 1 69 were non-diabetics. The mean age was 46 +/- 10 years. Twenty eight subjects tested positive for silent ischaemia, of whom six were diabetics (19%) and 22 were non-diabetics (13%). Hypertension and obesity were found more frequently in diabetics (48% Vs 27%) p = 0.019 and (35% Vs 18%) p = 0.027 respectively. Despite the greater proportion of diabetics having asymptomatic myocardial ischaemia as compared to nondiabetics statistical significance (p = 0.397) was not observed. CONCLUSION There was no significant difference in the frequency of silent ischaemia amongst the two groups.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Prevalence and prediction of silent ischaemia in diabetes mellitus: a population-based study.

OBJECTIVES The aim of the study was to estimate the prevalence of silent ischaemia in diabetic subjects in the population, to compare the prevalence of silent ischaemia in diabetics and non-diabetics and to attempt to predict the presence of silent ischaemia in diabetic subjects. METHODS A random sample of 120 users of insulin and 120 users of oral hypoglycaemic agents aged 40-75 years living...

متن کامل

Long term outcome in patients with silent versus symptomatic ischaemia during dobutamine stress echocardiography.

OBJECTIVES To compare the long term prognosis of patients having silent versus symptomatic ischaemia during dobutamine stress echocardiography (DSE). DESIGN Observational study. SETTING Tertiary referral centre. PATIENTS 931 patients who experienced stress induced myocardial ischaemia during DSE. RESULTS Silent ischaemia was present in 643 of 931 patients (69%). The number of dysfunctio...

متن کامل

A silent myocardial infarction in the diabetes outpatient clinic: case report and review of the literature

UNLABELLED Silent myocardial ischaemia (SMI), defined as objective evidence of myocardial ischaemia in the absence of symptoms, has important clinical implications for the patient with coronary artery disease. We present a dramatic case of SMI in a diabetes patient who attended annual review clinic with ST elevation myocardial infarction. His troponin was normal on admission but raised to 10.7 ...

متن کامل

Lipid levels as predictors of silent myocardial ischemia in a type 2 diabetic population in Havana.

INTRODUCTION Silent myocardial ischemia is frequent in type 2 diabetics, therefore, symptoms cannot be relied upon for diagnosis and followup in these patients. Various studies relate blood lipid levels to cardiovascular diseases, and several authors describe certain lipoproteins as independent predictors of ischemia. OBJECTIVE Identify blood lipid levels that predict silent myocardial ischem...

متن کامل

Prevalence, extent, and independent predictors of silent myocardial infarction.

BACKGROUND The phenomenon of silent myocardial infarction is poorly understood. METHODS We aimed to evaluate the prevalence, extent, and independent predictors of silent myocardial infarction in 2 large independent cohorts of consecutive patients without a history of myocardial infarction referred for rest/stress myocardial perfusion single photon emission computed tomography. There were 1621...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • JPMA. The Journal of the Pakistan Medical Association

دوره 61 10  شماره 

صفحات  -

تاریخ انتشار 2011