Electrocardiogram abnormality and Distance Covered during Six Minute Walk Test on Diabetes Mellitus Type 2

Ni Made Elva Mayasari, Adhi Permana, Yudi Fadilah, Namira Amanda



Diabetes Mellitus (DM) is a metabolic disease that has the characteristics of hyperglycemia that occurs due to abnormalities of insulin secretion, insulin action, or both. Macrovascular complications are often also referred to as secondary atherosclerosis due to DM, which can cause cerebral vascular disease, coronary arterial disease, and peripheral atrial disease. Diagnostic tools are needed for early detection in cardiovascular diseases which is accurate, inexpensive, comfortable, and available in almost health center. One of the diagnostic tools for early detection of cardiovascular diseases is an electrocardiogram (ECG). Six Minute Walk Test (SMWT) is a simple, objective, inexpensive, and efficient test to assess functional capacity and prognosis. This study aims to [nmem1] see whether there is a correlation between abnormalities of ECG and distance covered during SMWT in DM patients. This study was a cross-sectional study design from DM patients in the Polyclinic of the Muhammadiyah Hospital in Palembang. Forty patients with type 2 DM who fulfilled inclusion and exclusion criteria were selected using a consecutive sampling method. Twenty-seven patients have abnormal ECG, and only thirteen patients had distance covered during SMWT >300m. There is a correlation between abnormalities of ECG and distance covered during SMWT in DM patients with a significance value p = 0.011.

Keywords: Diabetes Mellitus type 2, Eelectrocardiogram, Six Minute Walking

Correspondence author: elva.maya@yahoo.com 



Diabetes mellitus type 2, ECG, Six Minute Walk Test

Full Text:



Adiniyi, A., Uluko, A., & Sani-Sulaiman, I. (2009). Exercise Capacity in Type 2 Diabetes Patients: A Preliminary Investigation. Exercise Capacity in Type 2 Diabetes Patients: A Preliminary Investigation.

da Rocha Fernandes, J., Ogurtsova, K., Linnenkamp, U., Guariguata, L., Seuring, T., Zhang, P., … Makaroff, L. E. (2016). IDF Diabetes Atlas estimates of 2014 global health expenditures on diabetes. Diabetes Research and Clinical Practice, 117, 48–54. https://doi.org/10.1016/j.diabres.2016.04.016

Fowler, M. J. (2011). Microvascular and macrovascular complications of diabetes. Clinical Diabetes. https://doi.org/10.2337/diaclin.29.3.116

Hampton, J. R. (2013). The EKG Made Easy (8th ed., Vol. 002). UK: Elsevier. Retrieved from file:///E:/d/FK UMP 2015/SKRIPSWEET/PROPOSAL SKRIPSI/tinjauan pustaka/The-ECG-Made-Easy.pdf

Katakami, N. (2018). Mechanism of development of atherosclerosis and cardiovascular disease in diabetes mellitus. Journal of Atherosclerosis and Thrombosis. https://doi.org/10.5551/jat.RV17014

Maradjabessy, F. H., Rampengan, S., & Langi, Y. A. (2015). Gambaran elektrokardiogram pada pasien DM Tipe 2 di poliklinik Endokrin BLU RSUP Prof. DR. R. D. Kandou Manado. E-CliniC. https://doi.org/10.35790/ecl.3.1.2015.6745

Movahed, M. R. (2008). Diabetes as a risk factor for cardiac conduction defects. Diabetes, Obesity and Metabolism, 9(3)(276), 81.

Papa, G., Degano, C., Iurato, M. P., Licciardello, C., Maiorana, R., & Finocchiaro, C. (2013). Macrovascular complication phenotypes in type 2 diabetic patients. Cardiovascular Diabetology. https://doi.org/10.1186/1475-2840-12-20

Poulter, N. (1999). Coronary heart disease is a Multifactorial DIsease. American Journal of Hypertension, 12(10), 92–95.

Purnama. (2014). Buku Ajar Ilmu Penyakit Dalam 6th. Jakarta: InternaPublishing.

Qureshi, E. M. A., Tabinda, A. B., & Vehra, S. (2017). Predicting dengue outbreak in the metropolitan city Lahore, Pakistan, using dengue vector indices and selected climatological variables as predictors. Journal of the Pakistan Medical Association, 67(3), 416–421. Retrieved from http://www.jpma.org.pk/PdfDownload/8120.pdf

Ramos, E., De Oliveira, L. V. F., Silva, A. B., Costa, I. P., Corrêa, J. C. F., Costa, D., … Sampaio, L. M. (2015). Peripheral muscle strength and functional capacity in patients with moderate to severe asthma. Multidisciplinary Respiratory Medicine. https://doi.org/10.1186/2049-6958-10-3

Shahab, A. (2014). Buku Ajar Ilmu Penyakit Dalam : Kardiopati Diabetik (6th ed.). Jakarta: Interna Publishing.

Stern, S., & Sclarowsky, S. (2009). The ecg in diabetes mellitus. Circulation, 120(16), 1633–1636. https://doi.org/10.1161/CIRCULATIONAHA.109.897496

DOI: http://dx.doi.org/10.30651/jqm.v4i2.3598