|Prognostic value of pharmacological stress echocardiography in diabetic patients.|
|PMID: 12928024 Owner: NLM Status: MEDLINE|
|Our study was undertaken to assess the prognostic significance of pharmacological stress echocardiography in 325 diabetic patients. Pharmacological stress echocardiography was performed for diagnosis of coronary artery disease in 128 patients, and for risk stratification in 197 patients. Follow-up was 34 months. Cardiac-related death and non-fatal myocardial infarction were considered hard events. During the follow-up period, there were 38 deaths and 23 acute non-fatal myocardial infarctions. By univariate analysis, a pharmacological stress echocardiography positive response for ischaemia indicated an increased risk of cardiovascular death. However, by multivariate analysis, advanced age and peak ejection fraction <40% were the only independent predictors of cardiac death. The same peak ejection fraction (EF) <40%, rest wall motion score index and previous myocardial infarction were independent predictors of hard events. After dividing the population into two subgroups on the basis of EF at rest, only a peak EF <40% and a pharmacological stress echocardiography positive test were powerful independent predictors of cardiovascular mortality.|
|A D'Andrea; S Severino; P Caso; L De Simone; B Liccardo; A Forni; M Pascotto; G Di Salvo; M Scherillo; N Mininni; R Calabrò|
Related Documents :
|8176104 - Improved endocardial border resolution during dobutamine stress echocardiography with i...
7642854 - Improved cardiac risk stratification in major vascular surgery with dobutamine-atropine...
16253364 - Changes in plasma volume associated with mental stress ischemia in patients with corona...
18261604 - Dobutamine stress echocardiography in the assessment of cardiac allograft vasculopathy ...
20407864 - Effects of electric stimulations applied during absolute refractory period on cardiac f...
22641544 - Comparison of infarct-related artery vs multivessel revascularization in st-segment ele...
|Type: Comparative Study; Evaluation Studies; Journal Article|
|Title: European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology Volume: 4 ISSN: 1525-2167 ISO Abbreviation: Eur J Echocardiogr Publication Date: 2003 Sep|
|Created Date: 2003-08-20 Completed Date: 2003-12-24 Revised Date: 2007-11-15|
Medline Journal Info:
|Nlm Unique ID: 100890618 Medline TA: Eur J Echocardiogr Country: England|
|Languages: eng Pagination: 202-8 Citation Subset: IM|
|Medical-Surgical Physiopathology of Cardiopulmunar and Respiratory System and Associated Biotechnologies, Second University of Naples, Corsa Europa 72, Naples, Italy. firstname.lastname@example.org|
|APA/MLA Format Download EndNote Download BibTex|
administration & dosage,
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Artery Bypass
Diabetes Mellitus / diagnosis*, epidemiology
Dipyridamole / administration & dosage, diagnostic use
Dobutamine / administration & dosage, diagnostic use
Heart Ventricles / physiopathology, ultrasonography
Myocardial Ischemia / diagnosis, epidemiology, therapy
Predictive Value of Tests
Statistics as Topic
Stroke Volume / physiology
Systole / physiology
Vasodilator Agents / administration & dosage, diagnostic use
Ventricular Dysfunction, Left / diagnosis, epidemiology, therapy
|0/Adrenergic beta-Agonists; 0/Vasodilator Agents; 34368-04-2/Dobutamine; 58-32-2/Dipyridamole|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effects of postural changes on cardiac function in healthy subjects.
Next Document: Tissue Doppler echocardiography in patients with long QT syndrome.