Author(s): I. V. Ramchandra Rao1, Kumbha Thulasiram2, P. Salma Khanam3, G. Suresh Babu4
INTRODUCTION: Majority of the time the patient of Diabetes presents with complications like Myocardial infarction, heart failure, being end stages of cardiovascular 2 disease associated with other macro and microvascular complications. If patients are screened at an early stage of Diabetes before the onset of symptoms the cardiovascular complications can be delayed and mortality can be reduced. There are only few studies in India done to screen asymptomatic diabetic individuals for cardiovascular complications. This study is done in view of screening the asymptomatic individuals in our area to prevent complications. With the available infrastructure, ECG, 2D ECHO were done in 50 patients who met inclusion, exclusion criterias, the changes were noted and the cardiac status was evaluated.
AIM AND OBJECTIVES: “To study the asymptomatic cardiac changes in type2 Diabetes patients”. To observe the ECG changes in patients of type2 Diabetes without any symptoms of cardiac disease. To evaluate the ECG changes along with 2DECHO findings in asymptomatic cardiac patients of type 2 Diabetes. To study the correlation between these two investigations and evaluate the cardiac status of the individual.
CONCLUSIONS: Most of the patients in study group belong to 5th decade, Males with Diabetes were almost double that of females, Most of the patients had duration of Diabetes as 5yrs, Less than half of patients had family history of Diabetes, Half of the group had alcohol, smoking habits, More than half of patients were overweight, Only 20% had good control of Diabetes, Total cholesterol is above normal in almost all of the patients, LDL is elevated in half of the patients, triglycerides in most of them, there is significant dyslipidemia in patients of Diabetes, Only 6 had normal ECG. Rest of them have LVH, ischemia,18 patients had changes in echo including LVD, regional and global hypokinesias, thus the present study shows patients with type 2 Diabetes particularly of longer duration in 4th-5th decade are recommended to undergo evaluation for cardiovascular changes even though they are asymptomatic.