Sharda Meenaxi, Soni Anil Kumar, Meena Shivraj, Nigam Harish, Singh Anuraj
Professor.
Resident, Department of Medicine, Govt. Medical College, Kota, Rajasthan.
J Assoc Physicians India. 2016 Nov;64(11):32-37.
Primary objective of this study was to access utility of exercise treadmill test in type-2 diabetes mellitus patients for detecting silent myocardial ischaemia and associated risk factors.
75 DM-2 cases were enrolled in study of any age attending medical OPD. All cases were gone through detailed history and TMT procedure.
There is higher prevalence of SMI in DM-2 patients. TMT positivity for inducible ischaemia in DM-2 patients were associated with increasing age, male sex, higher BMI, hypertension, smoking, alcoholism, microalbuminuria, macroalbuminuria and dyslipidemia. Duration of diabetes increases the development of CAD in diabetic patients. TMT is a safe procedure with no complication.
For detection of silent myocardial ischaemia in diabetic patients TMT has a significant role. Prevalence of silent myocardial ischaemia in DM-2 patients is 37.3%. There is significant correlation between risk factors of CVD and evidence of ischaemia on TMT in diabetic patients. Duration of diabetic state has a strong correlation for inducible ischaemia on TMT. It may be a safer, cheaper, reliable and easily available non-invasive screening tool for earlier detection of CAD in diabetic patients.
本研究的主要目的是评估运动平板试验在2型糖尿病患者中检测无症状心肌缺血及相关危险因素的效用。
75例2型糖尿病患者纳入本研究，他们来自内科门诊，年龄不限。所有病例均详细询问病史并接受运动平板试验检查。
2型糖尿病患者中无症状心肌缺血的患病率较高。2型糖尿病患者运动平板试验诱发性缺血阳性与年龄增加、男性、较高的体重指数、高血压、吸烟、酗酒、微量白蛋白尿、大量白蛋白尿和血脂异常有关。糖尿病病程会增加糖尿病患者冠心病的发生风险。运动平板试验是一种安全的检查方法，无并发症。
对于检测糖尿病患者的无症状心肌缺血，运动平板试验具有重要作用。2型糖尿病患者无症状心肌缺血的患病率为37.3%。糖尿病患者心血管疾病危险因素与运动平板试验缺血证据之间存在显著相关性。糖尿病病程与运动平板试验诱发性缺血密切相关。它可能是一种更安全、更便宜、可靠且易于获得的非侵入性筛查工具，用于早期发现糖尿病患者的冠心病。
