Document Detail

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

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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