Abstract:Objective To analyze the abnormal detection rate and types of electrocardiogram (ECG) of type 2 diabetes mellitus(T2DM)patients with microangiopathy, discuss the clinical diagnostic value of ECG for the heart damage of T2DM patients with microangiopathy. Method Each 110 cases of T2DM patients without microangiopathy and those with microangiopathy were selected. The ECG of the patients was analyzed. Results Thirty-nine cases of abnormal ECG were found in comparing group, ab- normal detection rate was 35.45%. For observing group, 98 cases of of abnormal ECG were detected, abnormal detection rate was 89.09%. A significant difference was found between the two groups( P < 0.05); ST-T changing is the most common in both of the two groups of abnormal ECG, followed by car- diac arrhythmias, both with statistical significance( P <0.05). Conclusion The abnormal ECG detec- tion rateof T2DM patients with microangiopathy was higher than those patients without microangiopathy. Clinical ECG inspection of T2DM should be performed regularly with dynamic observation and analysis, and cardiac damage induced by T2DM with microangiopathy should be detected timely, which is significant inpreventing and early treatment of diabetes with coronary heart disease and diabetic cardiomyopathy.