SILENT ECG CHANGES IN PATIENTS OF DIABETES MELLITUS

Abstract

Objective: To assess the silent ischemic changes in diabetics presented to atertiary care hospital and to know its association with different variables.

Methodology: A cross sectional study done at Ayub Teaching Hospital (ATH)Abbottabad, from 16th July 2016 to 14th November 2016. Data was collected byfilling preformed questionnaire, examining the patients and seeing ECG byinterviewers and analyzed using SPSS 23.

Results: Our results shows that out of total 246 patients 45.1% were males withmean age of51.62±11.3years. Of them 11% were type 1 while 89% were type 2diabetics. About 129(52.4%) of patients had ischemic changes on ECG,19.6%were smokers, 26.8%had family history of DM, 21(8.5%) of hypertension,99(40.2%) had family history of both DM and hypertension. Among patients66.3% had raised HbA1C level, 43.1% had dyslipidemia, 7.3% had proteinurea,22.7% had glycosuria and 18.7% had both proteinuria and glycosuria. Patientshaving ischemic changes on ECG, 127patients aged more than 30 years andregarding duration of diabetes mellitus (DM) 44 had<5years, 47 had 5-10years,16 had 10-15years, 17 had 15-20years while 5 had>20years duration of DM.

Conclusion: Ischemic changes were positively associated with age of patients,duration of diabetes, hypertension, raised HbA1C level and hyperlipidemia.