Stressechocardiography for risk stratification of asymptomatic patients with type 2 diabetes mellitus.
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Stressechocardiography for risk stratification of asymptomatic patients with type 2 diabetes mellitus. / Fateh-Moghadam, Suzanne; Reuter, Thomas; Htun, Patrik; Plöckinger, Ursula; Dietz, Rainer; Bocksch, Wolfgang.
In: INT J CARDIOL, Vol. 131, No. 2, 2, 2009, p. 288-290.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Stressechocardiography for risk stratification of asymptomatic patients with type 2 diabetes mellitus.
AU - Fateh-Moghadam, Suzanne
AU - Reuter, Thomas
AU - Htun, Patrik
AU - Plöckinger, Ursula
AU - Dietz, Rainer
AU - Bocksch, Wolfgang
PY - 2009
Y1 - 2009
N2 - 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.
AB - 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.
M3 - SCORING: Zeitschriftenaufsatz
VL - 131
SP - 288
EP - 290
JO - INT J CARDIOL
JF - INT J CARDIOL
SN - 0167-5273
IS - 2
M1 - 2
ER -