بررسي تغييرات الكتروكارديوگرام بر اساس شاخص هاي ايسكميك مينه سوتا در بيماران ديابتي نوع دو و رابطه آن با عوامل خطرساز قلبي - عروقي

Electrocardiogram abnormality based on Minnesota code in known type 2 diabetic patients

Introduction: Ischemic heart disease is one of the most important causes of mortality in diabetic patients. in this study it is to determine the prevalence of electrocardiogram change and risk factors of Ischemic heart disease among known type 2 diabetic patients in Isfahan Endocrinology research center. Materials and Methods: In this case control study 2350 type 2 diabetic patients randomly selected. For analyse of ECG, The detailed minnesota codes assigned to each tracing were grouped according to the whitehall criteria in to 1- probable CAD (mainly Q wave items) 2-possible CAD (mainly ST, T wave items) 3- CDA not likely (normal recorols and other minnesota cades) Results: 2414 percent of diabetic patients have abnormal electrocardiogram. Aged adjasted sex specific. Prevalence abnormal ECG in probable CAD group 3% for women and 918% for men (p< O. 0004). And in possible CAD group 2014% and 1714% (p<0. 03) for men and women respectively. Age, Duration of diabetes, Hypertention, Proteinuria, Triglycerid, LDL colestrol and smoking in men are most important risk factor in 1 and 2 group of diabetic patients with abnormal electrocardiogram. Conclusion: Coronary artery disease is prevalent in type 2 diabetic patients, and attentions prevent and control risk factors should be taken.