Detection of Silent Myocardial Ischemia in Patients with Diabetes Mellitus
The prevalence of silent myocardial ischemia (SMI) was studied in 96 subjects, aged 40 to 75 years, with diabetes millitus and without cardiac symptoms. Its relation to the duration of diabetes, the presence of diabetes-induced nephropathy, retinopathy and peripheral neuropathy, as well as risk fact...
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| Published in | JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Vol. 41; no. 4; pp. 966 - 969 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
THE JAPANESE ASSOCIATION OF RURAL MEDICINE
30.11.1992
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| Online Access | Get full text |
| ISSN | 0468-2513 1349-7421 |
| DOI | 10.2185/jjrm.41.966 |
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| Abstract | The prevalence of silent myocardial ischemia (SMI) was studied in 96 subjects, aged 40 to 75 years, with diabetes millitus and without cardiac symptoms. Its relation to the duration of diabetes, the presence of diabetes-induced nephropathy, retinopathy and peripheral neuropathy, as well as risk factors for coronary artery disease, were also evaluated. Exercise-induced SMI, defined as 1≥ mm of ST-segment depression and thallium perfusion defect, was detected in 13 patients (14%). The duration of diabetes in the patients with SMI was not so long, averaging 2.8±3.0 years. The extent of nephropathy, retiopathy and peripheral neuropathy, and the presence of hyperlipidemia were similar in patients with and without SMI. The presense of hypertension and cigarette smoking were significantly correlated in patiens with SMI. It is concluded that SMI occurs frequently in asymptomatic patients wiht short duration of diabetes. |
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| AbstractList | The prevalence of silent myocardial ischemia (SMI) was studied in 96 subjects, aged 40 to 75 years, with diabetes millitus and without cardiac symptoms. Its relation to the duration of diabetes, the presence of diabetes-induced nephropathy, retinopathy and peripheral neuropathy, as well as risk factors for coronary artery disease, were also evaluated. Exercise-induced SMI, defined as 1≥ mm of ST-segment depression and thallium perfusion defect, was detected in 13 patients (14%). The duration of diabetes in the patients with SMI was not so long, averaging 2.8±3.0 years. The extent of nephropathy, retiopathy and peripheral neuropathy, and the presence of hyperlipidemia were similar in patients with and without SMI. The presense of hypertension and cigarette smoking were significantly correlated in patiens with SMI. It is concluded that SMI occurs frequently in asymptomatic patients wiht short duration of diabetes. |
| Author | ONOZUKA, Hisao IGARASHI, Yasumi NAKAMURA, Masashi |
| Author_xml | – sequence: 1 fullname: ONOZUKA, Hisao organization: Sapporo Kousei Hospital, Department of Cardiovascular Medicine – sequence: 1 fullname: NAKAMURA, Masashi organization: Sapporo Kousei Hospital, Department of Cardiovascular Medicine – sequence: 1 fullname: IGARASHI, Yasumi organization: Sapporo Kousei Hospital, Department of Cardiovascular Medicine |
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| References | 8) Waller BF, Palumbo J, Lie IT, Robert WC: Status of The Coronary Arteries at Necropsy in Diabetes Mellitus with Onset After Age 39 Years. Am J Med 69: 498-506, 1980 9) Langer A, Freeman MR, Josse RG, Steiner G, and Armstrong PW: Detection of Silent Myocardial Ischemia in Diabetes Mellitus. Am J Cardiol 67: 1073-1078, 1991 2) Cohn PF: Silent Myocardial Ischemia: Classification, Prevalence, and Prognosis. Am J Med (supple 3A) 79: 2-6, 1985 5) Bruce RA: Exercise Testing of Patients with Coronary Heart Disease: Principles and Normal Standerds for Evaluation. Ann Clin Res 3: 323-332, 1971 6) Beller GA: Myocardial Perfusion Imaging for Detection of Silent Myocardial Ischemia. Am J Cardiol 61: 22F-26F, 1988 3) 繁田幸男, 吉川隆一: 糖尿病性腎症. 臨床と研究66: 37-41, 1987 4) Nesto RW, Phillips RT, Kett KG, Hill T, Perper E, Young E, and Leland OS: Angina and Exertional Myocardial Ischemia in Diabetic and Nondiabetic Patients: Assessment by Exercise Thallium Scintigraphy. Ann Int Med 108: 170-175, 1988 7) Abenavoli TA, Rubler S, Fisher VJ, Axelrod HI, and Zuckerman KP: Exercise Testing with Myocardial Scinti-graphy in Asymptomatic Diabetic Males. Circulation 63: 54-63, 1981 10) Bonow RO, Bacharach SL, Green MV, LaFreiere RL, and Epstein SE: Prognosic Implication of Symptomatic Versus Asymptomatic (Silent) Myocardial Ischemia Induced by Exercise in Mildly Symptomatic and in Anymptomatic Patients with Angio-graphically Documented Coronary Artery Disease. Am J Cardiol 60: 778-783, 1987 1) 菊池宏明, 堀三郎, 阿部隆三: 糖尿病死因動向. 日本臨床 (増刊糖尿病): 238-243, 1990 11) Weitezman S, Wagner GS, Heiss G, Haney TL, and Slome C: Myocardial Infarction Site and Mortality in Diabetes. Diabetes Care 5: 31-35, 1982 |
| References_xml | – reference: 3) 繁田幸男, 吉川隆一: 糖尿病性腎症. 臨床と研究66: 37-41, 1987 – reference: 8) Waller BF, Palumbo J, Lie IT, Robert WC: Status of The Coronary Arteries at Necropsy in Diabetes Mellitus with Onset After Age 39 Years. Am J Med 69: 498-506, 1980 – reference: 11) Weitezman S, Wagner GS, Heiss G, Haney TL, and Slome C: Myocardial Infarction Site and Mortality in Diabetes. Diabetes Care 5: 31-35, 1982 – reference: 10) Bonow RO, Bacharach SL, Green MV, LaFreiere RL, and Epstein SE: Prognosic Implication of Symptomatic Versus Asymptomatic (Silent) Myocardial Ischemia Induced by Exercise in Mildly Symptomatic and in Anymptomatic Patients with Angio-graphically Documented Coronary Artery Disease. Am J Cardiol 60: 778-783, 1987 – reference: 6) Beller GA: Myocardial Perfusion Imaging for Detection of Silent Myocardial Ischemia. Am J Cardiol 61: 22F-26F, 1988 – reference: 5) Bruce RA: Exercise Testing of Patients with Coronary Heart Disease: Principles and Normal Standerds for Evaluation. Ann Clin Res 3: 323-332, 1971 – reference: 2) Cohn PF: Silent Myocardial Ischemia: Classification, Prevalence, and Prognosis. Am J Med (supple 3A) 79: 2-6, 1985 – reference: 4) Nesto RW, Phillips RT, Kett KG, Hill T, Perper E, Young E, and Leland OS: Angina and Exertional Myocardial Ischemia in Diabetic and Nondiabetic Patients: Assessment by Exercise Thallium Scintigraphy. Ann Int Med 108: 170-175, 1988 – reference: 7) Abenavoli TA, Rubler S, Fisher VJ, Axelrod HI, and Zuckerman KP: Exercise Testing with Myocardial Scinti-graphy in Asymptomatic Diabetic Males. Circulation 63: 54-63, 1981 – reference: 1) 菊池宏明, 堀三郎, 阿部隆三: 糖尿病死因動向. 日本臨床 (増刊糖尿病): 238-243, 1990 – reference: 9) Langer A, Freeman MR, Josse RG, Steiner G, and Armstrong PW: Detection of Silent Myocardial Ischemia in Diabetes Mellitus. Am J Cardiol 67: 1073-1078, 1991 |
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| Title | Detection of Silent Myocardial Ischemia in Patients with Diabetes Mellitus |
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