Role of Treadmill testing (TMT) in Type Two diabetic Patients in Kirkuk - A Prospective Clinical Study

Abstract

Article Info Coronary artery disease is the common impact of death worldwide in type 2 Diabetes mellitus. High rate of asymptomatic coronary heart disease in type 2 DM. Stress testing, and subsequent intervention, might reduce patients" risk of cardiovascular morbidity and mortality. Hence a prospective study conducted during the period 2016-2017We studied the prevalence of silent myocardial ischemia (SMI) in asymptomatic type 2 diabetes mellitus by using treadmill test. Further analysis was performed using binary logistic regression for the predictors of positive TMT findings in DM patients in this study, the duration of DM was the stronger significant predictor of positive TMT, [odds ratio (OR = 2.79), P = 0.002], patients with longer duration of DM were about 2.8-fold more likely to have positive TMT findings. Being old age diabetic male patient increase the risk of having positive TMT by almost 1.82 folds (OR = 1.82, P = 0.023), other were higher level of Triglycerides (OR = 1.68), larger BMI (OR = 1.44), and male gender (OR = 1.33). In conclusion, the current study documented that a significant proportion of type two diabetes mellitus patients had silent myocardial Ischemia detected by treadmill testing which showed an important role in detecting the silent myocardial ischemia older age, male gender, longer duration of diabetes, large body mass index and elevated triglycerides levels are significant predictors of silent myocardial ischemia in diabetic patients.