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1 MD General Medicine, Assistant Prof., Dept of Medicine, Sri Aurobindo Medical College, Indore, India 2 Postgraduate Student, Department of Medicine, Sri Aurobindo Medical College, Indore, India 3 MD General Medicine, Senior Resident, Dept of Medicine, Sri Aurobindo Medical College, Indore, India *Corresponding Author Dr Himanshu Dagor Department of Medicine, Sri Aurobindo Medical College & PGI, Indore (M.P.), India Abstract Background: Type II Diabetes Mellitus (DM) is a key risk factor for ischemic heart disease (IHD). Patients remain generally asymptomatic and thus diagnosed at an advance stage of the illness. Our aim of study was to identify the IHD at an early stage in asymptomatic diabetic patients. Methods: 136 patients of type 2 Diabetes who remains asymptomatic were enrolled prospectively for treadmill test (TMT) followed by coronary angiography (CAG), which was performed on 96 (70.87%) TMT positive patients. Status of diabetes, clinical features including risk factors, TMT and angiographic findings were examined. Results: The patients were divided into two groups, high risk group A (risk factor >2) and low risk group B (risk factor >1). 34 patients of group A (36.95%) were IHD positive out of 92 patients of high risk group and 4 patients group B (9.09%) out of 44 patients of low risk group. Period of diabetes mellitus and multiple risk factors were correlated with ischemic heart disease (IHD) as well as multiple coronary artery involvement. Conclusions: A regular TMT for all asymptomatic type 2 diabetic cases (>10 years) with family history of IHD and subsequent CAG should be done in all cases who tested positive for TMT, for early recognition of IHD to take suitable revascularization methods.

Early recognition of Ischemic Heart Disease (IHD) in asymptomatic type 2 diabetes mellitus patients in malwa region