TO STUDY THE RELATION OF ASYMPTOMATIC CORONARY ARTERY DISEASE AND ASSOCIATED AUTONOMIC NEUROPATHY.
Journal Title: International Journal of Medical Science and Diagnosis Research (IJMSDR) - Year 2018, Vol 2, Issue 4
Abstract
Background: This is a cross sectional study on the patients of type 2 diabetes mellitus without clinical and electrocardiographic evidence of coronary artery disease attending diabetic clinic, cardiology and medicine outpatient departments. AIIMS, Bhopal and were enrolled in present study. Result: This table represents the incidence of diabetic neuropathy on systemic examination with regard to duration of diabetes mellitus. Out of 60 patients 21(36.66%) had clinical signs of peripheral neuropathy and 15(26.66%) had signs of autonomic neuropathy. Of diabetes of equal to or less than 5 years duration 2 patients revealed signs of peripheral neuropathy while 0 had evidence of autonomic neuropathy. 6 patients with diabetes of duration between 6 and 10 years had signs of peripheral neuropathy while 3 had autonomic neuropathy. 9 patients with diabetes of duration between 11 and 15 years had signs of peripheral neuropathy while 8 had signs of autonomic neuropathy. All the 4 patients with duration of diabetes between 16 and 20 years had signs of peripheral neuropathy as well as autonomic neuropathy. Conclusion: Diabetics with clinical peripheral neuropathy and autonomic neuropathy had higher incidence of asymptomatic coronary artery disease, suggests that in asymptomatic diabetic patients, CAN is a better predictor of major cardiac events. Keywords: Asymptomatic, CAD, Autonomic & Neuropathy.
Authors and Affiliations
Dr. Mahendra Tilkar
Keywords
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