Diabetes mellitus: evaluation of patients with known or suspected coronary artery disease and the role played by myocardial perfusion imaging

被引:1
作者
Antonopoulos, A
Anand, DV
Lahiri, A
机构
[1] Wellington Hosp, Cardiac Imaging & Res Ctr, London NW8 9LE, England
[2] IKA Hosp 7th, Div Cardiol, Athens, Greece
关键词
myocardial perfusion scintigraphy; diabetes; coronary artery disease; prognosis;
D O I
10.1097/01.mnm.0000168406.18380.d1
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Type 2 diabetes markedly increases cardiovascular risk, and patients often present with advanced and asymptomatic disease. The fact that diabetes is associated with an increased risk of acute coronary events and poor long-term survival makes a strong case for detecting coronary artery disease early, perhaps before clinical manifestation in this patient population. This article examines the role of myocardial perfusion scintigraphy in the diagnostic and prognostic evaluation of diabetic patients with suspected coronary artery disease and in screening high-risk asymptomatic diabetic patients.
引用
收藏
页码:587 / 591
页数:5
相关论文
共 44 条
[1]   Transient ischemic dilation ratio of the left ventricle is a significant predictor of future cardiac events in patients with otherwise normal myocardial perfusion SPECT [J].
Abidov, A ;
Bax, JJ ;
Hayes, SW ;
Hachamovitch, R ;
Cohen, I ;
Gerlach, J ;
Kang, XP ;
Friedman, JD ;
Germano, G ;
Berman, DS .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2003, 42 (10) :1818-1825
[2]   Prognostic impact of hemodynamic response to adenosine in patients older than age 55 years undergoing vasodilator stress myocardial perfusion study [J].
Abidov, A ;
Hachamovitch, R ;
Hayes, SW ;
Ng, CK ;
Cohen, I ;
Friedman, JD ;
Germano, G ;
Berman, DS .
CIRCULATION, 2003, 107 (23) :2894-2899
[3]  
Anand DV, 2004, CIRCULATION, V110, P683
[4]  
[Anonymous], 1997, Am J Cardiol, V79, P134
[5]  
[Anonymous], 1998, Diabetes Care, V21, P1551
[6]   Diabetes and atherosclerosis - Epidemiology, pathophysiology, and management [J].
Beckman, JA ;
Creager, MA ;
Libby, P .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 287 (19) :2570-2581
[7]   INCREMENTAL VALUE OF PROGNOSTIC TESTING IN PATIENTS WITH KNOWN OR SUSPECTED ISCHEMIC-HEART-DISEASE - A BASIS FOR OPTIMAL UTILIZATION OF EXERCISE TC-99M SESTAMIBI MYOCARDIAL PERFUSION SINGLE-PHOTON EMISSION COMPUTED-TOMOGRAPHY [J].
BERMAN, DS ;
HACHAMOVITCH, R ;
KIAT, H ;
COHEN, I ;
CABICO, JA ;
WANG, FP ;
FRIEDMAN, JD ;
GERMANO, G ;
VANTRAIN, K ;
DIAMOND, GA .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1995, 26 (03) :639-647
[8]  
BONOW RO, 1996, AM J MED, V101, pAS17
[9]  
CASDAI D, 1997, CIRCULATION, V96, P3390
[10]   Long-term prognostic value of preoperative dipyridamole thallium imaging and clinical indexes in patients with diabetes mellitus undergoing peripheral vascular surgery [J].
Cohen, MC ;
Curran, PJ ;
L'Italien, GJ ;
Mittleman, MA ;
Zarich, SW .
AMERICAN JOURNAL OF CARDIOLOGY, 1999, 83 (07) :1038-1042