PREVALENCE OF ASYMPTOMATIC CORONARY ARTERY DISEASE IN PATIENTS OF TYPE II DIABETES MELLIT

Objective: To select a subgroup of type 2 diabetics having Coronary artery disease with two predetermined risk factors to see if there is any benefit in detecting these patients. Study Design: A Retrospective Study. Place and Duration: In the Cardiology Department of Nishtar Hospital, Multan for two year duration from March 2015 to March 2017. Methods: 526 patients were selected for thallium screening or treadmill stress testing. Abnormal outcome was recommended by coronary angiography. CAD proves after angiographically correlated with several risk factors to know the association between variables and disease. Results: 235 (48%) patients had deranged findings and 158 (67%) of them were performed with coronary angiography. CAD was confirmed in 20%. In 35 (33%) patients Coronary artery bypass grafting (CABG) was done, and in 30 (27%) catheter-based intervention (PCI) was performed and patients were not eligible for intervention in 44 (40%) patients. Smoking, Diabetes, albuminuria, diabetic retinopathy and duration of peripheral vascular disease were important predictors of asymptomatic CAD. Conclusion: This study showed that there is a strong association between asymptomatic CAD and risk factors in type 2 diabetics.