Frequency of silent myocardial ischemia in type 2 diabetic patients and the relation with poor glycemic control

被引：18

作者：

Araz, M ^{[1
]}

Celen, Z

Akdemir, I

Okan, V

机构：

[1] Gaziantep Univ, Fac Med, Dept Internal Med, TR-27070 Gaziantep, Turkey

[2] Gaziantep Univ, Fac Med, Dept Nucl Med, Gaziantep, Turkey

[3] Gaziantep Univ, Fac Med, Dept Cardiol, Gaziantep, Turkey

来源：

ACTA DIABETOLOGICA | 2004年 / 41卷 / 02期

关键词：

silent myocardial ischemia; type 2 diabetes mellitus; HbA(1c); retinopathy;

D O I：

10.1007/s00592-004-0142-2

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The aim of the study was to investigate the frequency of silent myocardial ischemia in type 2 diabetic patients without any clinical or laboratory findings of myocardial ischemia and to examine the related factors for silent myocardial ischemia. A total of 116 type 2 diabetic patients (82 women) with a disease duration of 5-20 years were included in the study. All patients underwent stress and resting myocardial perfusion single-photon emission computed tomographic (SPECT) study with Tc-99m-MIBI. Coronary angiography was performed in patients with ischemia established at myocardial perfusion SPECT. Ischemia was determined in 18 (15.5%) patients by myocardial perfusion SPECT. Coronary angiography performed in 17 of these patients confirmed coronary stenosis >50% in 11 patients. Thus, the prevalence of silent myocardial ischemia was 9.6%. Significant relations were found between silent myocardial ischemia and male sex, high HbA(1C) level and retinopathy. Type 2 diabetic patients (especially men) with poorly controlled diabetes mellitus or retinopathy should be screened for silent myocardial ischemia.

引用

页码：38 / 43

页数：6

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