SILENT-MYOCARDIAL-ISCHEMIA IN PATIENTS WITH NON-INSULIN-DEPENDENT DIABETES-MELLITUS AS JUDGED BY TREADMILL EXERCISE TESTING AND CORONARY ANGIOGRAPHY

被引：106

作者：

NAKA, M ^{[1
]}

HIRAMATSU, K ^{[1
]}

AIZAWA, T ^{[1
]}

MOMOSE, A ^{[1
]}

YOSHIZAWA, K ^{[1
]}

SHIGEMATSU, S ^{[1
]}

ISHIHARA, F ^{[1
]}

NIWA, A ^{[1
]}

YAMADA, T ^{[1
]}

机构：

[1] SHINSHU UNIV,SCH MED,DEPT GERONTOL ENDOCRINOL & METAB,3-1-1 ASAHI,MATSUMOTO,NAGANO 390,JAPAN

来源：

AMERICAN HEART JOURNAL | 1992年 / 123卷 / 01期

关键词：

D O I：

10.1016/0002-8703(92)90745-H

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Patients with diabetes were compared with nondiabetic control subjects, with respect to the prevalence of silent myocardial ischemia, by means of treadmill exercise testing and coronary angiography. Results of treadmill exercise testing showed ischemic ST depression in 41 of the 132 diabetic patients (mean age 61 +/- 4 years) and in 42 of the 140 nondiabetic control subjects (mean age 60 +/- 8 years) (31% vs 30%, p = NS). Coronary angiography was performed in 36 of 41 diabetic patients and 34 of 42 nondiabetic control subjects with positive results of treadmill exercise tests, who gave their consent. Among "treadmill-positive" subjects, diabetic patients had a prevalence of silent myocardial ischemia that was 2.2 times higher than that in nondiabetic control subjects (p < 0.05). Diabetic patients who received insulin had a 2.6 times higher prevalence of silent myocardial ischemia than those who did not (p < 0.05). Similarly diabetic patients with retinopathy has a 2.5 times higher prevalence of silent myocardial ischemia than those without it (p < 0.05).

引用

页码：46 / 53

页数：8

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