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Single-photon emission computed tomography myocardial perfusion imaging in patients with diabetes
- Source :
- Current Cardiology Reports. 7:117-123
- Publication Year :
- 2005
- Publisher :
- Springer Science and Business Media LLC, 2005.
-
Abstract
- Diabetes mellitus has reached epidemic proportions, creating a large population of people at increased risk for cardiac events. Single-photon emission computed tomography myocardial perfusion imaging (SPECT MPI) provides an effective tool to accurately diagnose and risk stratify patients with diabetes, similar to patients without diabetes. Diabetics, however, are at increased risk for coronary events. Diabetics with normal MPI have increased late cardiac events, and even those with mild perfusion defects have increased event rates compared with nondiabetics with similar perfusion abnormalities. Stress MPI can provide valuable risk stratification data for both sexes, with or without diabetes. However, diabetes appears to exert a greater relative impact in women than in men. Despite the absence of symptoms, the incidence and prevalence of coronary artery disease is increased in patients with diabetes. Further studies and research will be needed to define the eventual role of SPECT MPI in asymptomatic diabetics.
- Subjects :
- Adult
Male
Cardiac Catheterization
medicine.medical_specialty
medicine.medical_treatment
Myocardial Ischemia
Coronary Disease
Single-photon emission computed tomography
Risk Assessment
Asymptomatic
Diabetes Complications
Coronary artery disease
Electrocardiography
Myocardial perfusion imaging
Sex Factors
Risk Factors
Internal medicine
Diabetes mellitus
Prevalence
medicine
Humans
Prospective Studies
Aged
Cardiac catheterization
Tomography, Emission-Computed, Single-Photon
Chi-Square Distribution
medicine.diagnostic_test
business.industry
Incidence
Middle Aged
Prognosis
medicine.disease
Diabetes Mellitus, Type 2
Cardiovascular Diseases
Cardiology
Female
Radiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Perfusion
Emission computed tomography
Subjects
Details
- ISSN :
- 15343170 and 15233782
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Current Cardiology Reports
- Accession number :
- edsair.doi.dedup.....59df9b759f0ca1b577db35d36e180932