Document Detail

Silent myocardial ischaemia and cardiac autonomic neuropathy in diabetics.
MedLine Citation:
PMID:  1289219     Owner:  NLM     Status:  MEDLINE    
Treadmill exercise electrocardiography was performed in 47 patients of diabetes to detect latent coronary artery disease. Eighteen patients (36.3%) were found positive on treadmill test. All forty seven subjects were evaluated for cardiac autonomic neuropathy. The incidence of cardiac autonomic neuropathy in treadmill positive group was 72.2% as compared to 31.0% in treadmill negative group, (p < 0.01). Nine patients from the positive group and 4 patients from the negative group were subjected for coronary angiography, which revealed significant CAD in 8 and 1 subjects in both groups respectively. It is concluded that the incidence of silent myocardial ischaemia in diabetics is very high and cardiac autonomic neuropathy seems to be the most probable reason for absence of pain.
S B Gupta; R B Pandit
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian heart journal     Volume:  44     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    1992 Jul-Aug
Date Detail:
Created Date:  1993-03-25     Completed Date:  1993-03-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  227-9     Citation Subset:  IM    
Department of Cardiology, Central Railway Headquarters Hospital, Byculla, Bombay.
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MeSH Terms
Autonomic Nervous System Diseases / etiology*
Diabetes Complications*
Diabetic Neuropathies / etiology*
Exercise Test
Heart Diseases / etiology*
Middle Aged
Myocardial Ischemia / etiology*
Prospective Studies

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