Abstract

Patil Abhijit A. and Redkar Vivek*

ABSTRACT

Introduction: Silent myocardial ischemia is defined as objective evidence of myocardial ischemia without angina or angina equivalent. In Framingham study, 30% of myocardial infarcts were silent, diagnosed only by serial electrocardiography. There is increasing evidence that asymptomatic myocardial infarctions and silent ischemia occur more frequently in diabetic patients. Materials and methods: The present study was cross sectional, observational study carried out in 100 randomly selected patients of type 2 diabetes mellitus for more than 1 year, patients >18 years of age, who do not have any symptoms related to cardiovascular system. Results: Our study shows that the prevalence of silent MI among patients with DM was 27%. It was reported in the present study that the mean fasting and post prandial blood sugar among patients was 164 ±15.18 mg/dl and 189.4±23.29 mg/dl respectively. Conclusions: In our study majority of cases of silent myocardial ischemia were found in patients with age group of >50 years, female patients, patients with duration of diabetes mellitus of 5-10 years.