Department of Biomedical Sciences, Physiology Unit, College of Medical Sciences, Institute of Health, Jimma University, Jimma, Ethiopia.
Jimma Medical Center, Department of Internal Medicine, College of Medical Sciences, Institute of Health, Jimma University, Jimma, Ethiopia.
BMC Cardiovasc Disord. 2021 Jun 24;21(1):312. doi: 10.1186/s12872-021-02110-6.
Diabetes mellitus is a group of metabolic disorders causing long-term damage to the cardiovascular system which remains asymptomatic among diabetic patients. An electrocardiograph is a simple and first-line tool in the screening of cardiovascular diseases.
To assess electrocardiogram abnormality and associated factors among apparently healthy adult type 2 diabetes patients on follow-up at Jimma Medical Center, 2019.
Institutional based cross-sectional study was conducted from April 1 to May 30, 2019, at Jimma Medical Center among selected type 2 diabetes patients. Systematic random sampling was employed to select the study participants. The World Health Organization stepwise approach and interviewer-administered semi-structured questionnaires were employed to collect basic data. Resting Electrocardiography was done using a standard 12-lead electrocardiograph machine. The collected data were checked for completeness, coded, entered into the Epi-data Version 4.0.2. and exported to SPSS Version 21. Descriptive statistics like frequencies, percentages, mean and standard deviations were carried out. Binary and multiple logistic regression was done and a p value of less than 0.05 was used as a level of significance.
A total of 344 type 2 diabetes patients were interviewed and underwent electrocardiography making a 100% response rate. Electrocardiographic abnormality was identified among 209 (61%) of the respondents. Not attending formal education [AOR = 3.07, 95%, CI = 1.37-6.87], solid oil use, [AOR = 1.79, 95%, CI = 1.07-2.98], body mass index ≥ 25 kg/m [AOR = 2.74, 95%, CI = 1.67-4.50] and long duration of diabetes ≥ 10 years [AOR = 3.36, 95%, CI = 1.46-7.71] were associated with electrocardiogram abnormality.
and recommendation In this study, the majority (3/5th) of the participant had electrocardiogram abnormality. Not attending formal education, longer duration of diabetes ≥ 10 years, solid oil use, and increased body mass index ≥ 25 kg/m were independent predictors of electrocardiographic abnormality. Integrating electrocardiogram screening in routine diabetic management can pick cardiac complications of diabetes.
糖尿病是一组代谢紊乱疾病，会对心血管系统造成长期损害，但在糖尿病患者中，这种损害通常没有症状。心电图是筛查心血管疾病的简单且一线的工具。
评估在 Jimma 医疗中心接受随访的成年 2 型糖尿病患者的心电图异常及其相关因素，时间为 2019 年 4 月 1 日至 5 月 30 日。
这是一项 2019 年 4 月 1 日至 5 月 30 日在 Jimma 医疗中心进行的基于机构的横断面研究，研究对象为选定的 2 型糖尿病患者。采用系统随机抽样法选取研究对象。采用世界卫生组织逐步方法和访谈者管理的半结构式问卷收集基本数据。使用标准的 12 导联心电图机进行静息心电图检查。收集的数据经过完整性检查、编码、输入 Epi-data 版本 4.0.2 并导出到 SPSS 版本 21。进行描述性统计，如频率、百分比、均值和标准差。进行二项和多因素逻辑回归，p 值<0.05 为显著性水平。
共对 344 名 2 型糖尿病患者进行了访谈和心电图检查，应答率为 100%。在 209 名（61%）受访者中发现心电图异常。未接受正规教育[比值比（AOR）=3.07，95%置信区间（CI）=1.37-6.87]、使用固体油[AOR=1.79，95%CI=1.07-2.98]、身体质量指数（BMI）≥25kg/m[AOR=2.74，95%CI=1.67-4.50]和糖尿病病程≥10 年[AOR=3.36，95%CI=1.46-7.71]与心电图异常相关。
在这项研究中，大多数（3/5）参与者的心电图异常。未接受正规教育、糖尿病病程≥10 年、使用固体油和 BMI 增加（≥25kg/m）是心电图异常的独立预测因素。在常规糖尿病管理中整合心电图筛查可以发现糖尿病的心脏并发症。
