Routine stress testing in diabetic patients after coronary intervention: a systematic review and meta-analysis

Stress testing is a widely used non-invasive tool in patients with angina, but its role in diabetic patients after coronary intervention remains uncertain. This review evaluates its impact in this population. We aimed to perform a systematic review and meta-analysis of studies assessing death, MACE,...

Full description

Saved in:
Bibliographic Details
Published in:Current problems in cardiology 2024-12, p.102972, Article 102972
Main Authors: de Oliveira, Juan P., da Rocha, Franciani R., Huntermann, Ramon, de Oliveira, Raissa P., Bacca, Caroline O. Fischer
Format: Article
Language:English
Subjects:
Cardiac surgery
Diabetes Mellitus
Percutaneous coronary intervention
Stress test
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Stress testing is a widely used non-invasive tool in patients with angina, but its role in diabetic patients after coronary intervention remains uncertain. This review evaluates its impact in this population. We aimed to perform a systematic review and meta-analysis of studies assessing death, MACE, ischemia and repeated revascularization in diabetic patients post-coronary intervention. We searched PubMed, Embase, and Cochrane for RCTs and cohort studies on diabetic patients post-revascularization reporting MI and cardiovascular death, ischemia, repeat revascularization, and pooled hazard ratios for mortality or MI. Statistical analysis used RStudio and RevMan, with heterogeneity assessed via I² statistics. We included 14,461 patients from 15 studies (14 observational cohorts, 1 RCT), all with diabetes and prior revascularization. Follow-up ranged from 1 to 5.2 years, with a mean age of 60.8±9.5 years, and 75% male. MI and cardiovascular death occurred in 11.24% (95% CI: 7.35–15.79%; p
ISSN:0146-2806
1535-6280
1535-6280
DOI:10.1016/j.cpcardiol.2024.102972