A Prospective Study on Utility of Exercise Treadmill Test in Type 2 Diabetes Mellitus Patients
Meenaxi Sharda1, Anil Kumar Soni2, Shivraj Meena3
1Professor.
The Journal of the Association of Physicians of India
|November 3, 2016
Summary
Exercise treadmill testing (TMT) effectively detects silent myocardial ischemia in type-2 diabetes mellitus patients. This non-invasive tool identifies key cardiovascular disease risks, aiding early intervention.
Area of Science:
- Cardiology
- Diabetology
- Preventive Medicine
Background:
- Type-2 diabetes mellitus (DM-2) significantly increases the risk of cardiovascular disease (CVD).
- Silent myocardial ischemia (SMI) is a common complication in DM-2 patients, often asymptomatic.
- Early detection of SMI and associated risk factors is crucial for preventing adverse cardiac events.
Purpose of the Study:
- To evaluate the utility of the exercise treadmill test (TMT) for detecting SMI in DM-2 patients.
- To identify risk factors associated with SMI in this population.
Main Methods:
- A study involving 75 DM-2 patients of various ages attending a medical outpatient department.
- Comprehensive medical history taking and performance of the TMT procedure for all participants.
Main Results:
- A high prevalence of SMI (37.3%) was observed in DM-2 patients.
- TMT positivity for inducible ischemia was linked to increasing age, male sex, higher BMI, hypertension, smoking, alcoholism, microalbuminuria, macroalbuminuria, and dyslipidemia.
- Longer diabetes duration correlated with increased coronary artery disease (CAD) development.
Conclusions:
- TMT plays a significant role in detecting SMI in diabetic patients.
- A strong correlation exists between CVD risk factors and evidence of ischemia on TMT in DM-2 patients.
- TMT is a safe, reliable, and accessible non-invasive screening tool for early CAD detection in diabetic individuals.
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