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Frequency of silent ischemic heart disease in patients with diabetes mellitus

, : Frequency of silent ischemic heart disease in patients with diabetes mellitus. Polski Merkuriusz Lekarski 3(14): 53-56

Early detection of silent ischaemia plays an important role in prevention of sudden cardiac death and acute myocardial infarction. More frequent occurrence of silent ischaemia in patients with diabetes mellitus and manifestations of ischaemic heart disease has been relayed in several studies. No studies aimed at frequency of occurrence of silent ischaemia in diabetic patients without clinical symptoms of ischaemic heart disease have been performed yet. Objectives of this study were the examination of the latter case. This study involved 67 patients with diabetes mellitus without clinical symptoms of ischaemic heart disease. The average duration time of diabetes mellitus was 11 years. The patients were divided in two groups. The first group included 26 patients with insulin dependent diabetes mellitus. The second group included 41 patients with non insulin dependent diabetes mellitus. The first control group consisted of 35 non diabetic patients with ischaemic heart disease, and the second control group consisted of 22 healthy volunteers. 24-hours ambulatory Holter monitoring and ECG exercise test were performed in all subjects. The diagnosis of silent ischaemia was established in patients with positive results of both examinations in ECG-records without any following pain. In case of only one positive results the dipyridamole stress echocardiography test with ECG was carried out to prove the diagnosis. It was proved, that silent ischaemia occurs in 19.2% of patients with insulin dependent diabetes mellitus and in 22% non insulin diabetic patients. No statistic differences between frequency of silent ischaemia occurrence in both groups were revealed. The application of 24-hours Holter monitoring combined with ECG-exercise stress test seems to be the best method in early recognition of silent ischaemia in diabetic patients.


PMID: 9480174

Other references

Looper, P., 1987: Inside the interview process for hiring flight nurses: how to survive. Journal of Emergency Nursing: Jen 13(4): 36a-39a

Taneda T.; Kataoka K.; Henmi H.; Abe T., 1968: Studies on inst audiogram in diabetes mellitus 3rd report. Japanese Journal of Medicine 7(1): 48-49

Piñar, G.; Gurtner, C.; Lubitz, W.; Rölleke, S., 2001: Identification of archaea in objects of art by denaturing gradient gel electrophoresis analysis and shotgun cloning. Methods in Enzymology 336: 356-366

Hurdle, J.G.; Lee, R.B.; Budha, N.R.; Carson, E.I.; Qi, J.; Scherman, M.S.; Cho, S.Hyun.; McNeil, M.R.; Lenaerts, A.J.; Franzblau, S.G.; Meibohm, B.; Lee, R.E., 2008: A microbiological assessment of novel nitrofuranylamides as anti-tuberculosis agents. Objectives: Nitrofuranylamides (NFAs) are nitroaromatic compounds that have recently been discovered and have potent anti-tuberculosis (TB) activity. A foundational study was performed to evaluate whether this class of agents possesses microbiolog...

Sokolova-Akulova, K.G., 1962: Clinical aspects of hemolytic disease of the newborn in ABO incompatibility. Vestnik Akademii Meditsinskikh Nauk SSSR 17(10): 48-52

Oenning, A.Caroline.; Jacobs, R.; Pauwels, R.; Stratis, A.; Hedesiu, M.; Salmon, B., 2017: Cone-beam CT in paediatric dentistry: DIMITRA project position statement. DIMITRA (dentomaxillofacial paediatric imaging: an investigation towards low-dose radiation induced risks) is a European multicenter and multidisciplinary project focused on optimizing cone-beam CT exposures for children and adolescents. With incr...

Akiyoshi H., 1981: Restricted hydrolysis of newly replicated dna in isolated nuclei from yoshida sarcoma cells. The acid solubility of radioactive nuclear DNA was examined under various conditions using isolated nuclei from [3H]thymidine-labeled [rat] Yoshida sarcoma cells. Upon incubation at C, acid-soluble radioactivity increased rapidly in 30...

Weston J.T.; Brayer J.; Koopmans L.; Bartels P.; Mcfeeley P., 1978: Computer assisted analysis of sudden infant death syndrome histo pathology. Laboratory Investigation 38(3): 372-373

Vreugdenhil G.; Baltus C.A.M.; Van Eijk H.G.; Swaak A.J.G., 1990: Anemia of chronic disease diagnostic significance of erythrocyte and serological parameters in iron deficient rheumatoid arthritis patients. Erythrocyte and serological parameters were assessed in 44 anaemic rheumatoid arthritis (RA) patients to detect iron deficiency as assessed by stainable bone marrow iron. The anaemia was normochromic normocytic in 60% and hypochromic normocytic in...

Neef, H., 1971: Control of blood coagulation in extracorporeal circulation. Medizinische Klinik 66(1): 16-21