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Association between T2DM with high resting heart rate and abnormal heart rate recovery within one minute after treadmill exercise test in CHD patients

  • I Gede Bagus Gita Pranata Putra ,
  • Ida Bagus Budha Dharma Kusuma ,
  • Ni Wayan Armerinayanti ,
  • Ketut Erna Bagiari ,
  • Eka Sriayu Wulandari ,

Abstract

Background: Diabetes mellitus and coronary heart disease are chronic diseases that are very closely related. It has long been known that diabetes mellitus is a significant risk factor for coronary heart disease. The incidence of diabetes mellitus is increasing, according to data taken from the PERKENI consensus, WHO predicts an increase in the number of people with DM in Indonesia from 8.4 million in 2000 to around 21.3 million in 2030. The purpose of this study was to determine whether diabetes mellitus is related to cardiovascular autonomic neuropathy.

Methods: This research method is helpful to know that diabetes mellitus is directly related to cardiovascular autonomic neuropathy so that it will affect a person's hemodynamic quality functionally. In addition, to functionally affecting a person's hemodynamic capacity, determining that a patient with cardiovascular autonomic neuropathy is determined from the high resting heart rate and abnormal recovery heart rate variables after the treadmill exercise test, we can provide information and education to patients regarding the importance of a cardiac rehabilitation program in patients with coronary heart disease.

Results: A total of 45 people according to the calculation of the number of samples by type, male sex numbered 30 and female numbered 15 people. The number of patients who experienced impaired recovery of the 1-minute heart rate in this study was 25 people (55.5%) with the majority being male. And the number of sufferers who experience high heart rates at rest is 22 people (48.9%). In a bivariate analysis, patients with type 2 diabetes mellitus and without type 2 diabetes mellitus significantly worsened recovery heart rate (P value <0.05).

Conclusion: There is a significant relationship between diabetes mellitus on high resting heart rate and diabetes mellitus on poor heart rate recovery in 1 minute in patients with coronary heart disease.

References

  1. PERKENI. Konsensus Pengendalian dan Pencegahan Diabetes Mellitus Tipe2 di Indonesia 2011:1-63.
  2. Muhammad Ridwan J. Perubahan Pemulihan Denyut Jantung Pada Pasien Diabetes Sebagai Marker Neuropati Autonomik Jantung. 2008.
  3. Tadjoedin Y, Suni I, Radi B. Disfungsi Autonom pada Pasien Penyakit Jantung Hipertensi Asimptomatik: Hasil Evaluasi Pemulihan Laju Jantung. J Kardiol Indones. 2008; 29:97-104.
  4. Ghaffari S, Kazemi B, Aliakbarzadeh P. Abnormal Heart Rate Recovery After Exercise Predicts Coronary Artery Disease Severity. Cardiology Journal. 2011;18(1):47-54.
  5. European Society of Cardiology (ESC). ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eurheartj. 2012;33(20):2569-619.
  6. European Society of Cardiology (ESC). ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eurheartj. 2011;32(23):2999-3054.
  7. Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren WM, et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). Eur J Prev Cardiol. 2012;19(4):585-667.
  8. Vinik AI, Ziegler D. Diabetic Cardiovascular Autonomic Neuropathy. Circulation. 2007;115:387-97.
  9. Boudina S, Abel ED. Diabetic Cardiomyopathy Revisited. Circulation. 2007;115:3213-23.
  10. McGuire KD. Diabetes and the Cardiovascular System. Braunwald’s Heart Disease,9th ed, Elsevier, Philadelphia. 2012: 1392-1409.
  11. Miller TD. Exercise treadmill test: estimating cardiovascular prognosis. Cleveland Clinic journal of medicine. 2008;75(6):424-30.
  12. Goraya TY, Jacobsen SJ, Pellikka PA, Miller TD, Khan A, Weston SA, et al. Prognostic value of treadmill exercise testing in elderly persons. Ann Intern Med. 2000; 132:862–870.
  13. Roger VL, Jacobsen SJ, Pellikka PA, Miller TD, Bailey KR, Gersh BJ, et al. Prognostic value of treadmill exercise testing: a population-based study in Olmsted County, Minnesota. Circulation. 1998; 98:2836–41.
  14. Watanabe J, Thamilarasan M, Blackstone EH, Thomas JD, Lauer MS, et al. Heart Rate Recovery Immediately After Treadmill Exercise and Left Ventricular Systolic Dysfunction as Predictors of Mortality. Circulation. 2001;104:1911-6.
  15. Cole CR, Foody JM, Blackstone EH, Lauer MS. Heart rate recovery after submaximal exercise testing as a predictor of mortality in a cardiovascularly healthy cohort. Ann Intern Med. 2000;132:552–555.
  16. Lipinski MJ, Vetrovec GW, Froelicher VF. Importance of the First Two Minutes of Heart Rate Recovery After Exercise Treadmill Testing in Predicting Mortality and the Presence of Coronary Artery Disease in Men. Am J Cardiol. 2004;93:445–9.
  17. Vieira VJ, Valentine RJ, McAuley E, Evans E, Woods JA. Independent Relationship Between Heart Rate Recovery and C-Reactive Protein in Older Adults. Journal of the American Geriatrics Society. 2007. 55:747–51.
  18. Kligfield P, Lauer MS. Exercise Electrocardiogram Testing: Beyond the ST Segment. Circulation. 2006;114:2070-82.
  19. Gohlke H. Exercise Training in Coronary Heart Disease. Cardiovascular Prevention and Rehabilitation. 2007;17:125-37.
  20. Thompson PD, Buchner D, Piña IL, Balady GJ, Williams MA, Marcus BH, et al. AHA Scientific Statements. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease. Circulation. 2003;107:3109–16.
  21. Mittleman MA, Maclure M, Tofler GH, Sherwood JB, Goldberg RJ, Muller JE. Triggering of acute myocardial infarction by heavy physical exertion: protection against triggering by regular exertion: Determinants of Myocardial Infarction Onset Study Investigators. N Engl J Med. 1993;329:1677–1683.
  22. Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, et al. ACC/AHA 2002 guideline update for exercise testing: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines). J Am Coll Cardiol. 2002 Oct 16;40(8):1531-40.
  23. Satyarsa AB, Suryantari SA, Gumilang PG, Dewi NN. Potensi FuMA stem cells, kombinasi fukoidan dan bone marrow stem cells (BMSCs), sebagai penatalaksanaan mutakhir pada infark miokard akut. Intisari Sains Medis. 2019;10(1).
  24. Dharmaputra GA, Veronica E, Driansha CL, Satyarsa AB, Dewi NW. Potensi ekstrak kunyit (Curcuma longa) terhadap kadar ischemia modified albumin (ima) pada tikus model penyakit jantung koroner. Jurnal Kesehatan Andalas. 2020;9(3):328-33.
  25. Graham I, Ingram S, Fallon N, Leong T, Gormley J, O’Doherty V, et al. Rehabilitation of the Patient with Coronary Heart Disease. In: Fuster V, Walsh RA, O'Rourke RA, Poole-Wilson P, King SB, Nash IS, editors. Hurst's The Heart, 12th Edition. The McGraw-Hill Companies; 2008. p1529-48.

How to Cite

Putra, I. G. B. G. P., Kusuma, I. B. B. D. ., Armerinayanti, N. W. ., Bagiari, K. E. ., & Wulandari, E. S. . (2023). Association between T2DM with high resting heart rate and abnormal heart rate recovery within one minute after treadmill exercise test in CHD patients. Intisari Sains Medis, 14(2), 937–940. https://doi.org/10.15562/ism.v14i2.1712

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I Gede Bagus Gita Pranata Putra
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Ida Bagus Budha Dharma Kusuma
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Ni Wayan Armerinayanti
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Ketut Erna Bagiari
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Eka Sriayu Wulandari
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