Volume : 8, Issue : 6, June - 2019

CORELATIONSHIP BETWEEN ANTHROPOMETRIC MEASURMENTS, E.C.G. AND 2-D ECHO-DOPPLER IN OBESE PATIENTS WITH TYPE-2 DIABETES MELLITUS

Dr. Bharat Kumar Parmar, Dr Sanjay Kumar Dubey

Abstract :

To select 100 cases of diabetes mellitus type 2 with obesity and record various anthropometric measurements, relevant investigations and to find out whether there is any significant co-relationship between anthropometric measurements, ECG and 2D ECHO-DOPLLER abnormalities. Methods. In all selected cases detailed clinical workup was done. Various anthropometric measurements were taken and relevant investigations done. Cases were instructed to empty their bladder prior to anthropomorphic measurements. Results 12 male cases out of 30 showed ECG changes suggestive of myocardial infarction. In female cases, 22 out of 70 cases studied had ECG suggestive of MI; the differences of number of obese DM type 2 cases was possibly due to random selection 5 female cases with WHR <0.81 had ECG criteria suggestive of myocardial infarction.(6%) female case with WHR 0.81-0.85 had ECG suggestive of myocardial infarction. (34%) female cases with WHR>0.85(N=46) had ECG criteria (QS complex, ST elevation, ST depression T inversion in II.III,AVF ,T inversion in lead I,AVL, V5-V6)suggestive of myocardial infarction.(30%) female cases showed low voltage QRS complex. There was slight decrease in percentage of normal ECG with increases in WHR Conclusion: In obese DM type 2 female cases: there was significant correlationship between the different grade of WHR and LV dysfunction (systolic/diastolic or combined).In obese DM type 2 male cases: although there were abnormalities in ECG and 2D-ECHO DOPPLER study but statistically these were insignificant when correlated with BMI and WHR.