| Stress echocardiography for risk stratification of asymptomatic patients with type 2 diabetes mellitus. | |
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MedLine Citation:
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PMID: 17963870 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Suzanne Fateh-Moghadam; Thomas Reuter; Patrik Htun; Ursula Plöckinger; Rainer Dietz; Wolfgang Bocksch |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2007-10-25 |
Journal Detail:
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Title: International journal of cardiology Volume: 131 ISSN: 1874-1754 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2008-12-22 Completed Date: 2009-09-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 288-90 Citation Subset: IM |
Affiliation:
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Medizinische Klinik mit Schwerpunkt Kardiologie, Universitätsklinik Charité-Campus Virchow, Humboldt-Universität zu Berlin und Freie Universität Berlin, Germany. suzanne.fateh-moghadam@charite.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Coronary Artery Disease / diagnosis, etiology, ultrasonography Diabetes Mellitus, Type 2 / complications, ultrasonography* Echocardiography, Stress / methods* Female Follow-Up Studies Humans Male Middle Aged Risk Factors |
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