Study of Silent Myocardial Infarction in Type Two Diabetes Mellitus Patients in a Tertiary Care Center

Abstract

BACKGROUND Coronary artery disease is known as a serious plague because of its regularity in different bits of the world. The signs of coronary artery issue handle a wide range from the mind boggling minor coronary atherosclerosis without angina or ischaemia to sudden passing. METHODS The present study was cross sectional, observational study carried out at tertiary care center. This study was conducted during the period from January 2016 to June 2017. All Type two Diabetes Mellitus 100 patients attending Department of Medicine included in the study. RESULTS Majority of study subjects were in age 51 - 60 years (46 %) having DM (Diabetes Mellitus) since 5 - 10 years (46 %). A lot of patients overweight (40 %), dyslipidaemia (22 %). It mean fasting and post prandial glucose among patients was 164 ± 15.18 mg / dL and 189.4 ± 23.29 mg / dL exclusively. The mean LDL, HDL, VLDL, complete cholesterol and greasy oils levels among patients was 118.14 ± 24.2 mg / dL, 42.60 ± 5.12 mg / dL, 35.68 ± 7.09 mg / dL, 204.96 ± 28.76 mg / dL, 166.17 ± 31.92 mg / dL independently. The regularity was 27 %. The prevalence of MI among DM patients was major in age pack 51 - 60 years (13 %). The ECG changes in calm MI among DM patients showed that a lot of calm MI patients had ST dejection and adjusted T wave inversion (77.77). CONCLUSIONS Standard checking ECG is be commonly useful and unobtrusive gadget in myocardial ischaemia area n asymptomatic diabetic patients. KEY WORDS Myocardial Ischaemia, Diabetes Mellitus.