The result of treadmill test in asymptomatic type 2 diabetes mellitus


  • Anil Shrinivasrao Joshi Department of Medicine, Govt. Medical College, Aurangabad, Maharashtra
  • Chandrakant Gunaji Lahane Department of Medicine, Govt. Medical College, Aurangabad, Maharashtra
  • Akshay Arvind Kashid Department of Medicine, Govt. Medical College, Aurangabad, Maharashtra



Type 2 DM, TMT, CHD, Bruce protocol


Background: To study the prevalence of silent myocardial ischaemia in asymptomatic patients with type 2 DM.

Methods: The present study was conducted in the Govt. Medical College and Hospital Aurangabad. During December 2012 to November 2014 with 50 patients. It was two year cross sectional study with the patients of asymptomatic type 2 diabetes mellitus without clinical and electrocardiographic evidence of coronary artery disease.

Results: 12 (24%) out of 50 subjects had positive TMT. It correlated with years of duration of diabetes (9 positive TMT cases with duration of diabetes more than 10 years). 5 (25%) out of 20 had serum cholesterol levels >240, Number of positive TMT were higher in patients with LDL >160 [5 (25%) out of 20].

Conclusions: Diabetic patients are at very high risk for cardiovascular morbidity and mortality. Early detection of IHD is very important so that pharmacological therapy, which may improve outcome, can be established. Tread mill exercise TMT being a non-invasive test with high safety, has an important role in early detection of IHD. It is recommended that TMT should be a part of routine management in asymptomatic patients with type II DM. 


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Kahn RC, Weir CG, King LG, Jacobson MA, Moses CA, Smith JR. Joslin's Diabetes Mellitus 14th Ed. Philadelphia: Lippincott Williams and Wilkins Co; 2005.

Park K. Park's text book of preventive and social medicine. 18th Ed. Jabalpur: Banarasi Das Bhanot Publishers; 2005.

Zipes PD, Libby P, Bonow OR, Braunwald E. Braunwald's Heart Disease. 7th Edition, Philadelphia; WB Saunders company: 2005.

Darrow MD. Ordering and understanding the exercise stress test. Am Acad Fam Phys. 1999;59(2):401-10.

Fletcher GF, Suvant RC. The exercise stress test. In: Hursts The Heart. 9th edition. NY: McGraw-Hill; 1998: 522-525.

Kim MK, Baek KH, Song KH, Kwon HS, Lee JM, Kang MI, et al. Exercise Treadmill Test in Detecting Asymptomatic Coronary Artery Disease in Type 2 Diabetes Mellitus. Diabetes Metab J. 2011;35:34-40.

Ahuwalia V. Incidence of silent myocardial ischemic in non-insulin dependent diabetes mellitus. 1998.

Blandine JD, Bernard S, Habib G, Bory M, Vague P, Lassman-Vague V. Silent myocardial ischemia in patients with diabetes: Diabetes Care. 1999;22:1396–400.

Agarwal R, Sharma P, Pal M, Kochar A, Kochar DK. Magnitude of dyslipedemia and its association with micro and macro vascular complications in type 2 diabetes; a hospital based study from Bikaner (Northwest India). Diabetes Res Clin Pract. 2006;73(2):211-4.






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