TITLE:
Electrocardiographic Changes in Patients with Type 2 Diabetes Multicenttic Cross Sectional and Descriptive Study in Dakar
AUTHORS:
Michel Assane Ndour, Leye Abdoulaye, Fall Biram Codou, Leye Yakham Mohamed, Ndiaye Nafy, Diack Ngoné Diaba, Fall Aichetou, Mbaye Alassane, Diao Maboury, Diop Moreira Therese
KEYWORDS:
Diabetes, ECG, Heart, Dakar, Cardiovascular Disease
JOURNAL NAME:
Open Journal of Internal Medicine,
Vol.7 No.3,
August
21,
2017
ABSTRACT: Introduction: The resting electrocardiogram
is generally called upon in the evaluation of cardiovascular risk in diabetics.
Thus we proposed in this work to evaluate electrocardiographic changes in
patients with type 2 diabetes. Methods: This was a cross-sectional and
descriptive observation that took place from 1 January 2014 to 1 October 2014
in the Internal Medicine/Endocrinology Departments of Pikine National Hospital and Cardiology
National Hospital of Grand-Yoff. Results: One hundred (100) patients
consisted of 43 male and 57 female diabetics. The sex ration male/female ratio
was 0.7. The average age was 58.3 years. Men were twice as likely to be active
as women. Rhythm disorders were noted in 20% of patients, 13% of whom were
women. Right atrial hypertrophy was found in 11% of patients and left
hypertrophy in both men and women (25%). Wolf-Parkinson
White syndrome was present in 2% of patients. A complete right bundle block was
present in 11% of patients. Primary repolarization disorders were noted in 17%
of patients and secondary in 18% of patients, postero-diaphragmatic necrosis in
14% of patients, real posterior necrosis in 2% of patients, extensive anterior
necrosis in 15% of patients. The QT interval was lengthened in 21% of patients
including 14 women. Left ventricular hypertrophy was present in 33% of patients
and right ventricular hypertrophy was found in 10% of patients. The bivariate
analysis showed that electrocardiographic abnormalities were more correlated
with the association of certain risk factors such as hypertension and
dyslipidemia, the feminine gender, but also the poor glycemic balance. On the
other hand, physical activity and treatment had a protective effect. Conclusion: The ECG is certainly insufficient for an exhaustive exploration of the
heart of the diabetic patient, but still very useful in our conditions of
exercise to improve the care of our patients.