Jul 14, 1990

Prevalence of asymptomatic myocardial ischaemia in diabetic subjects

BMJ : British Medical Journal
M J Koistinen


To compare the prevalence of silent myocardial ischaemia associated with coronary artery disease in diabetic subjects with that in controls of similar age and sex. A controlled study in which subjects with positive findings on exercise electrocardiography, 24 hour electrocardiographic recording, or dynamic thallium scintigraphy (diabetics only) underwent coronary angiography. Academic medical centre; referral based cardiology clinic. 136 Diabetic subjects, of whom 72 (33 women, 39 men (mean age 46.0] were insulin dependent and 64 (19 women, 45 men (mean age 49.3] non-insulin dependent. 80 Controls matched for age and sex; all were clients of the Occupational Health Service of Oulu University Central Hospital or the State Occupational Health Service Station in Oulu in whom diabetes had been excluded by a glucose tolerance test. Any subject showing signs of myocardial ischaemia was referred for cardiac catheterization. Exercise electrocardiography and 24 hour electrocardiographic recording were regarded as positive if there were ST depressions of greater than or equal to 1 mm that were planar or downsloping and persisted for 0.08 seconds after the J point. Thallium tomographic imaging. With cardiac catheterisation, coronary arter...Continue Reading

  • References11
  • Citations96


  • References11
  • Citations96


Mentioned in this Paper

Diabetes Mellitus, Non-Insulin-Dependent
Arterial System
Entire Lumen of Body System
Coronary Artery Disease
Myocardial Ischemia
Entire Coronary Artery
Cardiac Catheterization Procedures
Glucose Tolerance Test
Cardiopulmonary Exercise Test
Coronary Arteriosclerosis

About this Paper

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