运动超声心动图对糖尿病合并已知或疑似冠状动脉疾病患者的预后价值。

Prognostic value of exercise echocardiography in patients with diabetes mellitus and known or suspected coronary artery disease.

作者信息

Garrido Iris Paula, Peteiro Jesús, García-Lara Juan, Montserrat Lorenzo, Aldama Guillermo, Vázquez-Rodríguez José-Manuel, Alvarez Nemesio, Castro-Beiras Alfonso

机构信息

Department of Cardiology, Juan Canalejo Hospital, Coruña, Spain.

出版信息

Am J Cardiol. 2005 Jul 1;96(1):9-12. doi: 10.1016/j.amjcard.2005.03.029.

DOI:10.1016/j.amjcard.2005.03.029

PMID:15979423

Abstract

To assess the prognostic value of exercise echocardiography in subjects who had diabetes, we studied 214 patients who had 28 hard cardiac events (cardiac death in 15, myocardial infarction in 13) during a follow-up of 44 +/- 16 months. Independent risk factors for predicting cardiac events were insulin therapy (odds ratio 2.313), peak left ventricular ejection fraction (odds ratio 0.973), and ischemia detected by exercise echocardiography (odds ratio 2.513).

摘要

为评估运动超声心动图对糖尿病患者的预后价值，我们研究了214例患者，这些患者在44±16个月的随访期间发生了28起严重心脏事件（15例心源性死亡，13例心肌梗死）。预测心脏事件的独立危险因素为胰岛素治疗（比值比2.313）、左心室射血分数峰值（比值比0.973）以及运动超声心动图检测到的心肌缺血（比值比2.513）。