Journal
SINGAPORE MEDICAL JOURNAL
Volume 54, Issue 7, Pages 370-376Publisher
SINGAPORE MEDICAL ASSOC
DOI: 10.11622/smedj.2013136
Keywords
diabetes mellitus; diabetic cardiomyopathy; diffuse coronary artery disease; management; non-ST elevation myocardial infarction
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Diabetes mellitus is responsible for diverse cardiovascular complications such as accelerated atherosclerosis, increased plaque burden and diffuse coronary lesions. It is also a major risk factor for myocardial infarction, stroke and peripheral vascular disease. Here, we present two cases. The first patient had subtle changes in the ECGs, with severe coronary artery disease requiring coronary artery bypass grafting, while the second had deep T wave inversion in the ECG and was found to have normal coronary arteries and nonischaemic cardiomyopathy. Although ECG failed to show the severity of the disease, it is invaluable as a simple, noninvasive test to aid in diagnosis. Our two cases stress the importance of a high index of suspicion and the low threshold for investigations in the diabetic population.
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