Zharov E i, Kazankov Iu N, Grigor'ev M Iu
Kardiologiia. 1993;33(6):16-8.
A total of 40 patients with diabetes mellitus without anginal episodes and equivalents were studied. 24-hour monitoring identified 2 groups of patients: (1) 13 patients with recorded silent myocardial ischemic episodes and (2) 23 patients without episodes. Four patients were found to have stress-echocardiographic silent myocardial ischemia. Silent myocardial ischemia was detected in 42.5% of patients with diabetes mellitus. The patients from Group 1 exhibited more frequently Type II diabetes mellitus whose duration was over 9 years and concurrent retino- and polyneuropathies. There was a relationship between silent myocardial ischemia to heart failure and myocardial hypertrophy as evidenced by two-dimensional echocardiography. The patients from Group 1 had a higher pain sensitivity threshold than those from Group 2. Autonomic polyneuropathy was observed in 46% of Group 1 patients and in 21% of Group 2 patients.
共研究了40例无心绞痛发作及类似情况的糖尿病患者。24小时监测确定了两组患者：（1）13例有记录的无症状心肌缺血发作患者和（2）23例无发作患者。发现4例患者有负荷超声心动图无症状心肌缺血。42.5%的糖尿病患者检测到无症状心肌缺血。第1组患者更常表现为病程超过9年的II型糖尿病以及并发视网膜病变和多发性神经病变。二维超声心动图显示，无症状心肌缺血与心力衰竭和心肌肥厚之间存在关联。第1组患者的疼痛敏感性阈值高于第2组患者。第1组46%的患者和第2组21%的患者观察到自主神经多发性神经病变。
