Deriba A Bedane1, Samuel Tadesse2, Moyeta Bariso2, Wondu Reta2, Gaddisa Desu3. 1. Department of Biomedical Sciences, Physiology Unit, College of Medical Sciences, Institute of Health, Jimma University, Jimma, Ethiopia. deribaabera@gmail.com. 2. Department of Biomedical Sciences, Physiology Unit, College of Medical Sciences, Institute of Health, Jimma University, Jimma, Ethiopia. 3. Jimma Medical Center, Department of Internal Medicine, College of Medical Sciences, Institute of Health, Jimma University, Jimma, Ethiopia.
Abstract
BACKGROUND: Diabetes mellitus is a group of metabolic disorders causing long-term damage to the cardiovascular system which remains asymptomatic among diabetic patients. An electrocardiograph is a simple and first-line tool in the screening of cardiovascular diseases. OBJECTIVE: To assess electrocardiogram abnormality and associated factors among apparently healthy adult type 2 diabetes patients on follow-up at Jimma Medical Center, 2019. MATERIALS AND METHODS: Institutional based cross-sectional study was conducted from April 1 to May 30, 2019, at Jimma Medical Center among selected type 2 diabetes patients. Systematic random sampling was employed to select the study participants. The World Health Organization stepwise approach and interviewer-administered semi-structured questionnaires were employed to collect basic data. Resting Electrocardiography was done using a standard 12-lead electrocardiograph machine. The collected data were checked for completeness, coded, entered into the Epi-data Version 4.0.2. and exported to SPSS Version 21. Descriptive statistics like frequencies, percentages, mean and standard deviations were carried out. Binary and multiple logistic regression was done and a p value of less than 0.05 was used as a level of significance. RESULTS: A total of 344 type 2 diabetes patients were interviewed and underwent electrocardiography making a 100% response rate. Electrocardiographic abnormality was identified among 209 (61%) of the respondents. Not attending formal education [AOR = 3.07, 95%, CI = 1.37-6.87], solid oil use, [AOR = 1.79, 95%, CI = 1.07-2.98], body mass index ≥ 25 kg/m2 [AOR = 2.74, 95%, CI = 1.67-4.50] and long duration of diabetes ≥ 10 years [AOR = 3.36, 95%, CI = 1.46-7.71] were associated with electrocardiogram abnormality. CONCLUSIONS: and recommendation In this study, the majority (3/5th) of the participant had electrocardiogram abnormality. Not attending formal education, longer duration of diabetes ≥ 10 years, solid oil use, and increased body mass index ≥ 25 kg/m2 were independent predictors of electrocardiographic abnormality. Integrating electrocardiogram screening in routine diabetic management can pick cardiac complications of diabetes.
BACKGROUND:Diabetes mellitus is a group of metabolic disorders causing long-term damage to the cardiovascular system which remains asymptomatic among diabeticpatients. An electrocardiograph is a simple and first-line tool in the screening of cardiovascular diseases. OBJECTIVE: To assess electrocardiogram abnormality and associated factors among apparently healthy adult type 2 diabetespatients on follow-up at Jimma Medical Center, 2019. MATERIALS AND METHODS: Institutional based cross-sectional study was conducted from April 1 to May 30, 2019, at Jimma Medical Center among selected type 2 diabetespatients. Systematic random sampling was employed to select the study participants. The World Health Organization stepwise approach and interviewer-administered semi-structured questionnaires were employed to collect basic data. Resting Electrocardiography was done using a standard 12-lead electrocardiograph machine. The collected data were checked for completeness, coded, entered into the Epi-data Version 4.0.2. and exported to SPSS Version 21. Descriptive statistics like frequencies, percentages, mean and standard deviations were carried out. Binary and multiple logistic regression was done and a p value of less than 0.05 was used as a level of significance. RESULTS: A total of 344 type 2 diabetespatients were interviewed and underwent electrocardiography making a 100% response rate. Electrocardiographic abnormality was identified among 209 (61%) of the respondents. Not attending formal education [AOR = 3.07, 95%, CI = 1.37-6.87], solid oil use, [AOR = 1.79, 95%, CI = 1.07-2.98], body mass index ≥ 25 kg/m2 [AOR = 2.74, 95%, CI = 1.67-4.50] and long duration of diabetes ≥ 10 years [AOR = 3.36, 95%, CI = 1.46-7.71] were associated with electrocardiogram abnormality. CONCLUSIONS: and recommendation In this study, the majority (3/5th) of the participant had electrocardiogram abnormality. Not attending formal education, longer duration of diabetes ≥ 10 years, solid oil use, and increased body mass index ≥ 25 kg/m2 were independent predictors of electrocardiographic abnormality. Integrating electrocardiogram screening in routine diabetic management can pick cardiac complications of diabetes.
Entities:
Keywords:
ECG abnormality; Jimma medical center; Minnesota ECG criteria; Type 2 diabetes mellitus
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