ST-T Change on Electrocardigraphy in Old Diabetics Without Chest Pain.
- Author:
Chang Suk NOH
1
;
Seok Woo KANG
;
Joong Bae JEE
;
Yong Ik CHO
;
Su Ha LEE
;
Jung Hoon SONG
;
Eun Bin LEE
;
Nam Sun PARK
;
Byung Kook KANG
;
Sang Yeol SUH
;
Sam Kwon CHO
;
Eun Soon KIM
;
Jong Hyun PARK
;
Eun Na KIM
Author Information
1. Department of Internal Medicine, Seoul Red Cross Hospital, Seoul, Korea. ksw204@hanmail.net
- Publication Type:Original Article
- Keywords:
Diabetes mellitus;
Electrocardiography;
Myocardial ischemia
- MeSH:
Chest Pain*;
Cholesterol;
Diabetes Mellitus;
Diagnosis;
Electrocardiography;
Heart;
Humans;
Myocardial Ischemia;
Primary Health Care;
Thorax*
- From:Journal of the Korean Geriatrics Society
2005;9(3):224-230
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Silent myocardial ischemia is often found in old diabetics. Many diagnostic tools are used for diagnosis of angina. But these tools are difficult to use in primary care. Therefore we have planned to investigate the change of electrocardiography in old diabetics, using resting electrocardiogram which is available for primary care. METHOD: 67 patients with ST-T change group and 262 patients with control group were included in this study. Patients with chest pain or heart problem were excluded. The resting electrocardigraphy is examined by standard 12 lead electrocardiogram. RESULTS: There are differences of diabetes, HDL-cholesterol between ST-T change group and control group. Diabetes and HDL- cholesterol are significant factors that change ST-T wave in the resting electrocardigraphy. CONCLUSION: ST-T change of old diabetics without chest pain is more frequent than non diabetics. That means myocardial ischemia and requires treatment at secondary or third medical center. In conclusion, regular electrocardigraphy monitoring at primary care should be required in old diabetics.
