A STUDY ON CORRELATION OF CAROTID INTIMA AND MEDIA THICKNESS WITH STRESS ECG AND 2D ECHO IN TYPE 2 DIABETES MELLITUS PATIENTS IN TERTIARY CARE HOSPITAL OF PUNE CITY

Abstract

Background: The atherosclerotic process in diabetes mellitus causes intimal thickening and luminal narrowing. The present study was conducted with an objective to study correlation of Carotid Intima and Media Thickness with Stress ECG and 2D Echo in type 2 DM.

Methodology: This cross-sectional study was conducted on cases of asymptomatic type 2 DM. A detailed history was taken and clinical examination consisting of all diabetic manifestations including carotid bruit and other peripheral vascular disease was noted. All patients were subjected to necessary laboratory investigations, stress ECG and 2D Echo.

Results: Among the 50 DM cases, there was no significant correlation found between CIMT and Age (P value>0.05). There was significant correlation found between CIMT (group ≤0.9 - ≥0.7) with sex and duration of DM with p value <0.05. There was significant correlation found between CIMT (group ≤0.9 - ≥0.7) with BMI, Waist Circumference, Waist to Height Ratio with p value <0.05. There was no significant correlation found between CIMT and 2D Echo findings at p value >0.05.

Conclusion: We concluded from this study that CIMT could be positively correlated with sex, duration of DM, BMI, Waist Circumference, WHR, BSL, and HbA1c. However, CIMT could not be correlated with age, urine protein, diabetic retinopathy, and 2D Echo findings.