Abstract
It is well known that ischemic heart disease is a major cause of death in patients with diabetes mellitus (DM) and they have poor prognosis after myocardial infarction (1–4). However, even patients with serious ischemic lesions are apt to be asymptomatic. Some of the best diagnostic determinants of ischemie lesions in DM heart are yet to be identified (5-7). In this study, patients with non-insulin dependent diabetes mellitus (NIDDM) were examined using dipyridamole loading thallium-201 myocardial scintigraphy (Tl- 201) to investigate how frequently they are associated with ischémie lesions in DM heart and to assess whether their occurrence is closely related to the presence of chest pain and the severity of diabetic nephropathy.
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References
Kannel WB, McGee DL. Diabetes and cardiovascular disease: The Framingham Study. JAMA 1979;241:2035.
Yoshino H, Matuoka K, Horiuchi A et al. Painless myocardial infarction in diabetics. Tohoku J. Exp Med 1983;141(Suppl.):547.
Garcia MJ, McNamara PM, Gordon T and Kanne1 WB. Morbidity and mortality in diabetics in Framingham Population: Sixteen year follow-up study. Diabetes 1974;23:105.
Smith JW et al. Prognosis of patients with diabetes mellitus after acute myocardial infarction. Am J Cardiol 1984;54:718.
Rubuler S et al. Predictive value of clinical and exercise variables for detection of coronary artery disease in men with diabetes mellitus. Am J Cardiol 1987;59:1310.
Chipkin SR et al. Frequency of painless myocardial ischemia during exercise tolerance testing in patients with and without diabetes mellitus. Am J Cardiol 1987;59:61.
Abenavoli T et al. Exercise testing with myocardial scintigraphy in asymptomatic diabetic males. Circulation 1981;63(1):54.
Albro PC, Gould KL et al. Non-invasive assessment of coronary artery stenosis by myocardial imaging during pharmacologic coronary vasodilation. Am J Cardiol 1978;42:751.
Ruddy TD et al. Myocardial uptake and clearance of thallium-201 in normal subjects: Comparison of dipyridamole hyperemia with exercise stress. J Am Col Cardiol 1987;10:547.
Lam JYT et al. Safety and diagnostic accuracy of dipyridamole-thallium imaging in the elderly. J Am Col Cardiol 1988;11:585.
Francisco DA et al. Tomographic thallium-201 myocardial perfusion scintigrams after maximal coronary artery vasodilation with intravenous dipyridamole: Comparison of qualitative and quantitative approaches. Circulation 1982;66(2):370.
Jarrett RJ, Viberti GC, Argyropoulos A et al. Micro-albuminuria predicts mortality in non-insulin-dependent diabetes. Diabetic Med 1984;1:17.
Mogensen CD. Micro-albuminuria predicts clinical proteinuria and early mortality in maturity-onset diabetes. N Engl J Med 1984;310:356.
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© 1992 Springer Science+Business Media New York
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Ishiguro, J., Tsuda, T., Izumi, T., Ito, S., Shibata, A. (1992). Diabetic Albuminuria and Ischemic Heart Disease. In: Nagano, M., Mochizuki, S., Dhalla, N.S. (eds) Cardiovascular Disease in Diabetes. Developments in Cardiovascular Medicine, vol 130. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3512-6_6
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DOI: https://doi.org/10.1007/978-1-4615-3512-6_6
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-6558-7
Online ISBN: 978-1-4615-3512-6
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