Silent coronary artery disease in black African diabetic patients. A prospective study of 50 patients

Silent coronary heart disease (CHD) has been researched among a sample of 50 black African diabetic patients in a prospective study. The diabetic patients were chosen on the following criteria: male sex, age ranging from 40 to 60 years, absence of history of CHD, normal EKG. A stress test was perfor...

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Bibliographic Details
Published inTropical and geographical medicine Vol. 39; no. 2; p. 144
Main Authors Touze, J E, Sess, D, Darracq, R, Mardelle, T, Chauvet, J, Ake, E, Ekra, A, Bertrand, E
Format Journal Article
LanguageEnglish
Published Netherlands 01.04.1987
Subjects
Adult
Africa
African Continental Ancestry Group
Coronary Angiography
Coronary Disease - epidemiology
Coronary Disease - pathology
Diabetic Angiopathies - epidemiology
Diabetic Angiopathies - pathology
Electrocardiography
Exercise Test
Humans
Male
Middle Aged
Prospective Studies
Africa
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Summary:Silent coronary heart disease (CHD) has been researched among a sample of 50 black African diabetic patients in a prospective study. The diabetic patients were chosen on the following criteria: male sex, age ranging from 40 to 60 years, absence of history of CHD, normal EKG. A stress test was performed in all cases. A coronary arteriography was done each time the exercise test was positive, doubtful or non-conclusive. This study has shown a prevalence of 10% CHD:31 exercise test negatives, 17 exercise test non-conclusives, 2 exercise test positives, 5 coronary arteriography with significant narrowing. There were 3 patients with one vessel disease (LDA: 2 cases, CFX: 1 case), one patient with double vessel disease (CFX, RCA) while another had a triple vessel disease (RCA, LDA, CFX). Proximal lesions were encountered in 5 cases and distal lesions in 3 cases. The authors conclude that CHD exist in a silent state among black African diabetics. Its prevalence is lower than in white diabetics. The coronary lesions are mostly limited. Proximal narrowing and one vessel disease were mostly encountered.
ISSN:0041-3232