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Stressechocardiography for risk stratification of asymptomatic patients with type 2 diabetes mellitus

Item Type:Letter
Title:Stressechocardiography for risk stratification of asymptomatic patients with type 2 diabetes mellitus
Creators Name:Fateh-Moghadam, S. and Reuter, T. and Htun, P. and Ploeckinger, U. and Dietz, R. and Bocksch, W.
Abstract:BACKGROUND: The purpose of this study was to assess stressechocardiography (SE) for risk stratification of asymptomatic type 2 diabetic patients (DM2) without known coronary artery disease CAD. METHODS: A total of 211 consecutive, asymptomatic DM2 patients underwent exercise (n=177) or dobutamine (n=34) SE and were followed up for 11+/-2 months. Primary endpoint was a major cardiac or vascular event (MACCE; all-cause-death, non-fatal myocardial infarction, coronary revascularization procedures, cerebrovascular event, acute limb-ischemia). RESULTS: During follow-up 39 of these patients suffered a MACCE. SE correctly identified 33 of these 39 patients by demonstrating silent ischemia in advance. In a multivariate logistic regression analysis a positive SE turned out to be an independent predictor for the occurrence of a MACCE during 11+/-2 months. CONCLUSIONS: SE represents an effective tool for risk stratification of asymptomatic DM2 patients.
Keywords:Coronary Heart Disease, Dobutamine Stress Echocardiography, Exercise Stress Echocardiography, Exercise Testing, Diabetic Patients Type 2, Risk Stratification
Source:International Journal of Cardiology
Page Range:288-290
Date:9 January 2009
Official Publication:https://doi.org/10.1016/j.ijcard.2007.07.085
PubMed:View item in PubMed

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