DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20151226

A study of electrocardiographic changes in type 2 diabetes patients

Sharol Ashma Menezes, Anto Delasalle, Arunachalam .

Abstract


Background: Cardiovascular system has been involved in patients with diabetes in various ways. It is very important to know the electrocardiographic changes that can occur in patients with diabetes.

Methods: The electrocardiographic changes were studied in 50 cases with diabetes and compared with 50 healthy age and sex matched controls.

Results: Among the 18 females and 32 males included in the study, only 10 patients had diabetes of more than 10 years duration. The various electrocardiographic changes were poor progression of R waves (18%), Q waves (10%), bundle branch blocks (8%), QT prolongation (8%), ectopics (6%), axis changes (6%), heart blocks (6%), rate abnormalities (8%) and chamber enlargement (6%).

Conclusions: This study reflects that resting ECG should be an integral part of the examination of all patients with diabetes.


Keywords


Electrocardiographic, Diabetes

Full Text:

PDF

References


Schnell O, Otter W, Standl E. The Myocardial Infarction Registry: translating the European Society of Cardiology (ESC) and European Association for the Study of Diabetes (EASD) guidelines on diabetes, pre-diabetes, and cardiovascular disease into clinical practice. Diabetes care. 2009;32:326-30.

Voulgari C, Papadogiannis D, Tentolouris N. Diabetic cardiomyopathy: from the pathophysiology of the cardiac myocytes to current diagnosis and management strategies. Vascular Health and Risk Management. 2010;6:883-903.

Singh S, Singh AP, Multani MK, Purohit A. Clinical and biochemical profile of Indians with type 2 diabetes mellitus: A problem lurking for India. Trop J Med Res. 2014;17:91-8.

Agrawal RP, Ranka M, Beniwal R, Gothwal SR, Jain GC, Kochar DK, et al. Prevalence of micro and macro vascular complications in type 2 diabetes and their risk factors. Int J Diabetes Dev Ctries. 2004;24:11-6.

Sinharoy K, Mandal L, Chakrabarti S, Paul UK, Bandyopadhyay R, Basu AK. A study on clinical and biochemical profile of low body weight type 2 diabetes mellitus. J Indian Med Assoc. 2008;106:747-50.

Uusitpa M, Mustonen J, Siitonen O, Pyorala K. Quantitative electrocardiographic and vector cardiographic study on newly diagnosed non-insulin-dependent diabetes and non diabetic control subjects. Cardiology. 1988;75:1-9.

Thrainsdottir IS, Hardarson T, Thorgeisson G, Sigvaldason H, Sigfusson N. The epidemiology of right bundle branch block and its association with cardiovascular morbidity. Eur Heart J. 1993;14:1590-6.

Pouroghaddas A, Hekmatnia A. The relationship between QTc interval and cardiac autonomic neuropathy in diabetes mellitus. Mol Cell Biochem. 2003;249:125-8.