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| Item Type: | Letter |
|---|---|
| Title: | Stressechocardiography for risk stratification of asymptomatic patients with type 2 diabetes mellitus |
| Creators Name: | Fateh-Moghadam, S., Reuter, T., Htun, P., Ploeckinger, U., 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 |
| ISSN: | 0167-5273 |
| Publisher: | Elsevier |
| Volume: | 131 |
| Number: | 2 |
| 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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