تحري اقفار العضلة القلبية الصامت عند المرضى السكريين بالهولتر

The aim of this study is to evaluate the prevalence and characteristics of silent myocardial ischemia in asymptomatic patients with mellitus diabetes. 50 diabetic patients (24 males, 26 females; mean age ± SD = 58.3 ± 6.4 years) with a normal resting electrocardiogram are prospectively studied. The total group has undergone 48 hours of electrocardiographic Holter monitoring. The prevalence of silent myocardial ischemia during daily activities in asymptomatic diabetic patients is very high (58%). In diabetic patients, silent ischemia is clearly related to age advancement and an increase in the duration of mellitus diabetes; and it increases with the presence of other risk factors for coronary artery disease, such as high blood pressure, increased values of total cholesterol and LDL cholesterol; it also increases with the presence of diabetic complications and noticeable variability day in day out..