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Heart disease is the leading cause of death among diabetics. Patients with type 2 diabetes above the age of 60-65 years are susceptible to silent heart attacks.Diabetes being a multi systemic disorder also affects the nerves causing autonomic neuropathy hence making the heart attack painless.Diabetics who are smokers and have increased blood pressure are more prone for silent attacks and hence these group of patients must undergo screening tests like a treadmill stress test.Some of the symptoms that patients can experience includes mild discomfort in the chest,jaw or arms which is relieved on taking rest,shortness of breath and tiredness.
Some of the investigations in addition to a good clinical history that need to be done include an electrocardiogram,estimation of the cardiac enzymes.
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