Prevalence and determinants of electrocardiographic abnormalities in sub-Saharan African individuals with type 2 diabetes : cardiovascular topic
| Autor: | Abdoul Khadir Adam, Patricia Gouking, Anastase Dzudie, Jean Claude Mbanya, Henry Luma, Yves Monkam Mbouende, Simeon-Pierre Choukem, Marie Solange Doualla, Henry Achu Joko, Félicité Kamdem, Samuel Kingue, Mesmin Dehayem, Andre Pascal Kengne, Marielle E.E Lobe |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
education.field_of_study Sub saharan medicine.diagnostic_test business.industry Population General Medicine Type 2 diabetes medicine.disease Logistic regression Left ventricular hypertrophy Blood pressure Diabetes mellitus Internal medicine medicine Cardiology cardiovascular diseases Cardiology and Cardiovascular Medicine education business Electrocardiography |
| Zdroj: | Cardiovascular Journal Of Africa. 23:533-537 |
| ISSN: | 1680-0745 1995-1892 |
| Popis: | Aim : This study assessed the prevalence and determinants of electrocardiographic abnormalities in a group of type 2 diabetes patients recruited from two referral centres in Cameroon. Methods : A total of 420 patients (49% men) receiving chronic diabetes care at the Douala General and Yaounde Central hospitals were included. Electrocardiographic abnormalities were investigated, identified and related to potential determinants, with logistic regressions. Results : The mean age and median duration of diagnosis were 56.7 years and four years, respectively. The main electrocardiographic aberrations (prevalence %) were: T-wave abnormalities (20.9%), Cornell product left ventricular hypertrophy (16.4%), arrhythmia (16.2%), ischaemic heart disease (13.6%), conduction defects (11.9%), QTc prolongation (10.2%) and ectopic beats (4.8%). Blood pressure variables were consistently associated with all electrocardiographic abnormalities. Diabetes-specific factors were associated with some abnormalities only. Conclusions : Electrocardiographic aberrations in this population were dominated by repolarisation, conduction defects and left ventricular hypertrophy, and were more related to blood pressure than diabetes-specific factors. |
| Databáze: | OpenAIRE |
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