A Prospective Study on Utility of Exercise Treadmill Test in Type 2 Diabetes Mellitus Patients.
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.
Professor.
Meenaxi
M
Sharda
Resident, Department of Medicine, Govt. Medical College, Kota, Rajasthan.
Anil Kumar
AK
Soni
Asst. Professor.
Shivraj
S
Meena
Resident, Department of Medicine, Govt. Medical College, Kota, Rajasthan.
Harish
H
Nigam
Resident, Department of Medicine, Govt. Medical College, Kota, Rajasthan.
Anuraj
A
Singh
D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D003925:Diabetic Angiopathies / Q000175:diagnosis*; D005080:Exercise Test; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000209:etiology*; D011446:Prospective Studies