Silent myocardial ischemia in diabetic and nondiabetic patients with coronary artery disease

Background: Patients with diabetes mellitus are at increased risk for CAD; silent ischemia is reported to be frequent in diabetic populations. The aim of the present study was to evaluate the prevalence of silent ischemia in diabetic and nondiabetic patients with assessed CAD. Methods and results: W...

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Bibliographic Details
Published in:International journal of cardiology 2003-08, Vol.90 (2), p.219-227
Main Authors: Falcone, C., Nespoli, L., Geroldi, D., Gazzaruso, C., Buzzi, M.P., Auguadro, C., Tavazzi, L., Schwartz, P.J.
Format: Article
Language:English
Subjects:
Analysis of Variance
Biological and medical sciences
Cardiology. Vascular system
Chi-Square Distribution
Coronary Angiography
Coronary artery disease
Coronary Disease - complications
Coronary heart disease
Diabetes Complications
Diabetes mellitus
Exercise Test
Female
Heart
Humans
Incidence
Male
Medical sciences
Middle Aged
Myocardial Ischemia - epidemiology
Myocardial Ischemia - etiology
Myocardial Ischemia - physiopathology
Pain Measurement
Prevalence
Risk Factors
Silent myocardial ischemia
Statistics, Nonparametric
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Summary:Background: Patients with diabetes mellitus are at increased risk for CAD; silent ischemia is reported to be frequent in diabetic populations. The aim of the present study was to evaluate the prevalence of silent ischemia in diabetic and nondiabetic patients with assessed CAD. Methods and results: We recruited a total of 618 patients with CAD: 309 were consecutive diabetic patients and 309 were age- and gender-matched nondiabetic patients. Myocardial ischemia was evaluated both during daily life and during exercise testing. Angina pectoris during daily life was more frequent in diabetic than in nondiabetic patients (80% vs. 74%, P
ISSN:0167-5273
1874-1754
DOI:10.1016/S0167-5273(02)00558-2