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Stress echocardiography for risk stratification of asymptomatic patients with type 2 diabetes mellitus.

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.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Fateh-Moghadam S,Reuter T,Htun P,Plöckinger U,Dietz R,Bocksch W

doi

10.1016/j.ijcard.2007.07.085

subject

Has Abstract

pub_date

2009-01-09 00:00:00

pages

288-90

issue

2

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(07)01626-9

journal_volume

131

pub_type

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