Department of Neuroanaesthesia and Neurocritical Care, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India
Abstract
Background:
This is a cross sectional study on the patients of type 2 diabetes mellitus without clinical and electrocardiographic evidence of coronary artery disease attending diabetic clinic, cardiology and medicine outpatient departments. AIIMS, Bhopal and were enrolled in present study.
Result:
This table represents the incidence of diabetic neuropathy on systemic examination with regard to duration of diabetes mellitus. Out of 60 patients 21(36.66%) had clinical signs of peripheral neuropathy and 15(26.66%) had signs of autonomic neuropathy. Of diabetes of equal to or less than 5 years duration 2 patients revealed signs of peripheral neuropathy while 0 had evidence of autonomic neuropathy. 6 patients with diabetes of duration between 6 and 10 years had signs of peripheral neuropathy while 3 had autonomic neuropathy. 9 patients with diabetes of duration between 11 and 15 years had signs of peripheral neuropathy while 8 had signs of autonomic neuropathy. All the 4 patients with duration of diabetes between 16 and 20 years had signs of peripheral neuropathy as well as autonomic neuropathy.
Conclusion:
Diabetics with clinical peripheral neuropathy and autonomic neuropathy had higher incidence of asymptomatic coronary artery disease, suggests that in asymptomatic diabetic patients, CAN is a better predictor of major cardiac events.
Keywords: Asymptomatic, CAD, Autonomic & Neuropathy.