Electrocardiography series. Diabetes mellitus and heart disease.

Electrocardiography series. Diabetes mellitus and heart disease. Singapore Med J. 2013 Jul;54(7):370-6 Authors: Ambhore A, Teo SG, Poh KK Abstract Diabetes mellitus is responsible for diverse cardiovascular complications such as accelerated atherosclerosis, increased plaque burden and diffuse coronary lesions. It is also a major risk factor for myocardial infarction, stroke and peripheral vascular disease. Here, we present two cases. The first patient had subtle changes in the ECGs, with severe coronary artery disease requiring coronary artery bypass grafting, while the second had deep T wave inversion in the ECG and was found to have normal coronary arteries and nonischaemic cardiomyopathy. Although ECG failed to show the severity of the disease, it is invaluable as a simple, noninvasive test to aid in diagnosis. Our two cases stress the importance of a high index of suspicion and the low threshold for investigations in the diabetic population. PMID: 23900465 [PubMed - in process]

http://www.ncbi.nlm.nih.gov/pubmed/23900465?dopt=Abstract

Source: Singapore Medical Journal - July 1, 2013 Category: Journals (General) Authors: Ambhore A, Teo SG, Poh KK Tags: Singapore Med J Source Type: research