Prognostic value of exercise echocardiography in diabetic patients
Autor(a) principal: | |
---|---|
Data de Publicação: | 2009 |
Outros Autores: | , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFS |
Texto Completo: | https://ri.ufs.br/handle/riufs/1295 |
Resumo: | Background Coronary artery disease (CAD) is the leading cause of death in diabetic patients. Although exercise echocardiography (EE) is established as a useful method for diagnosis and stratification of risk for CAD in the general population, there are few studies on its value as a prognostic tool in diabetic patients. The purpose of this investigation was to evaluate the value of EE in predicting cardiac events in diabetics. Methods 193 diabetic patients, 97 males, 59.8 ± 9.3 yrs (mean ± SD) were submitted to EE between 2001 and 2006 and followed from 7 to 65 months with median of 29 months by phone calls and personal interviews with patients and their primary physician, and reviewing medical records and death certificates. The end points were cardiac events, defined as non-fatal myocardial infarction, late myocardial revascularization and cardiac death. Sudden death without another explanation was considered cardiac death. Survival free of end points was estimated by the Kaplan-Meier method. Results Twenty-six cardiac events were registered in 24 individuals during the follow-up. The rates of cardiac events were 20.6 and 7% in patients with positive and negative EE, respectively (p < 0.001). Predictors of cardiac events included sedentary lifestyle, with RR of 2.57 95%CI [1.09 to 6.02] (P = 0.03) and positive EE, with RR 3.63, 95%CI [1.44 to 9.16] (P = 0.01). Patients with positive EE presented higher rates of cardiac events at 12 months (6.8% vs. 2.2%), p = 0.004. Conclusion EE is a useful method to predict cardiac events in diabetic patients with suspected or known CAD. |
id |
UFS-2_bf134ecc4ffaf0bc5c608ba1a7b057a9 |
---|---|
oai_identifier_str |
oai:ufs.br:riufs/1295 |
network_acronym_str |
UFS-2 |
network_name_str |
Repositório Institucional da UFS |
repository_id_str |
|
spelling |
Sousa, Antônio Carlos SobralOliveira, Joselina Luzia MenezesBarreto Filho, José Augusto SoaresOliveira, Carla Raquel PereiraSantana, Thaiana AragãoAndrade, Fernando Diego AnjosAlves, Érica OliveiraNascimento Júnior, Adão Cardoso doGoes, Thiago Jônatas SantosSantana, Nathalie Oliveira deVasconcelos, Francis L.Barreto, Martha AzevedoD'Oliveira Júnior, ArgemiroSalvatori, RobertoOliveira, Manuel Herminio de Aguiar2014-10-06T19:28:09Z2014-10-06T19:28:09Z2009OLIVEIRA, J. L. M. et. al. Prognostic value of exercise echocardiography in diabetic patients. Cardiovascular Ultrasound, Roma, v. 7, n. 24, 2009. Disponível em: <http://www.dx.doi.org/10.1186/1476-7120-7-24>. Acesso em: 06 out. 2014.https://ri.ufs.br/handle/riufs/1295Creative Commons Attribution License 4.0Background Coronary artery disease (CAD) is the leading cause of death in diabetic patients. Although exercise echocardiography (EE) is established as a useful method for diagnosis and stratification of risk for CAD in the general population, there are few studies on its value as a prognostic tool in diabetic patients. The purpose of this investigation was to evaluate the value of EE in predicting cardiac events in diabetics. Methods 193 diabetic patients, 97 males, 59.8 ± 9.3 yrs (mean ± SD) were submitted to EE between 2001 and 2006 and followed from 7 to 65 months with median of 29 months by phone calls and personal interviews with patients and their primary physician, and reviewing medical records and death certificates. The end points were cardiac events, defined as non-fatal myocardial infarction, late myocardial revascularization and cardiac death. Sudden death without another explanation was considered cardiac death. Survival free of end points was estimated by the Kaplan-Meier method. Results Twenty-six cardiac events were registered in 24 individuals during the follow-up. The rates of cardiac events were 20.6 and 7% in patients with positive and negative EE, respectively (p < 0.001). Predictors of cardiac events included sedentary lifestyle, with RR of 2.57 95%CI [1.09 to 6.02] (P = 0.03) and positive EE, with RR 3.63, 95%CI [1.44 to 9.16] (P = 0.01). Patients with positive EE presented higher rates of cardiac events at 12 months (6.8% vs. 2.2%), p = 0.004. Conclusion EE is a useful method to predict cardiac events in diabetic patients with suspected or known CAD.BioMed Central Ltd.Doença Arterial CoronarianaEcocardiografiaPrognostic value of exercise echocardiography in diabetic patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleengreponame:Repositório Institucional da UFSinstname:Universidade Federal de Sergipe (UFS)instacron:UFSinfo:eu-repo/semantics/openAccessTHUMBNAILPrognosticValue.pdf.jpgPrognosticValue.pdf.jpgGenerated Thumbnailimage/jpeg1777https://ri.ufs.br/jspui/bitstream/riufs/1295/4/PrognosticValue.pdf.jpg4a4d2fb26383c7013e18422444f4d4b9MD54ORIGINALPrognosticValue.pdfPrognosticValue.pdfapplication/pdf336223https://ri.ufs.br/jspui/bitstream/riufs/1295/1/PrognosticValue.pdf2b491d4c915d50e4d80280b6d61cbd24MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://ri.ufs.br/jspui/bitstream/riufs/1295/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52TEXTPrognosticValue.pdf.txtPrognosticValue.pdf.txtExtracted texttext/plain37392https://ri.ufs.br/jspui/bitstream/riufs/1295/3/PrognosticValue.pdf.txtf38175c8acf5675327c7321338ba2d8cMD53riufs/12952016-07-29 20:14:42.175oai:ufs.br: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Repositório InstitucionalPUBhttps://ri.ufs.br/oai/requestrepositorio@academico.ufs.bropendoar:2016-07-29T23:14:42Repositório Institucional da UFS - Universidade Federal de Sergipe (UFS)false |
dc.title.pt_BR.fl_str_mv |
Prognostic value of exercise echocardiography in diabetic patients |
title |
Prognostic value of exercise echocardiography in diabetic patients |
spellingShingle |
Prognostic value of exercise echocardiography in diabetic patients Sousa, Antônio Carlos Sobral Doença Arterial Coronariana Ecocardiografia |
title_short |
Prognostic value of exercise echocardiography in diabetic patients |
title_full |
Prognostic value of exercise echocardiography in diabetic patients |
title_fullStr |
Prognostic value of exercise echocardiography in diabetic patients |
title_full_unstemmed |
Prognostic value of exercise echocardiography in diabetic patients |
title_sort |
Prognostic value of exercise echocardiography in diabetic patients |
author |
Sousa, Antônio Carlos Sobral |
author_facet |
Sousa, Antônio Carlos Sobral Oliveira, Joselina Luzia Menezes Barreto Filho, José Augusto Soares Oliveira, Carla Raquel Pereira Santana, Thaiana Aragão Andrade, Fernando Diego Anjos Alves, Érica Oliveira Nascimento Júnior, Adão Cardoso do Goes, Thiago Jônatas Santos Santana, Nathalie Oliveira de Vasconcelos, Francis L. Barreto, Martha Azevedo D'Oliveira Júnior, Argemiro Salvatori, Roberto Oliveira, Manuel Herminio de Aguiar |
author_role |
author |
author2 |
Oliveira, Joselina Luzia Menezes Barreto Filho, José Augusto Soares Oliveira, Carla Raquel Pereira Santana, Thaiana Aragão Andrade, Fernando Diego Anjos Alves, Érica Oliveira Nascimento Júnior, Adão Cardoso do Goes, Thiago Jônatas Santos Santana, Nathalie Oliveira de Vasconcelos, Francis L. Barreto, Martha Azevedo D'Oliveira Júnior, Argemiro Salvatori, Roberto Oliveira, Manuel Herminio de Aguiar |
author2_role |
author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Sousa, Antônio Carlos Sobral Oliveira, Joselina Luzia Menezes Barreto Filho, José Augusto Soares Oliveira, Carla Raquel Pereira Santana, Thaiana Aragão Andrade, Fernando Diego Anjos Alves, Érica Oliveira Nascimento Júnior, Adão Cardoso do Goes, Thiago Jônatas Santos Santana, Nathalie Oliveira de Vasconcelos, Francis L. Barreto, Martha Azevedo D'Oliveira Júnior, Argemiro Salvatori, Roberto Oliveira, Manuel Herminio de Aguiar |
dc.subject.por.fl_str_mv |
Doença Arterial Coronariana Ecocardiografia |
topic |
Doença Arterial Coronariana Ecocardiografia |
description |
Background Coronary artery disease (CAD) is the leading cause of death in diabetic patients. Although exercise echocardiography (EE) is established as a useful method for diagnosis and stratification of risk for CAD in the general population, there are few studies on its value as a prognostic tool in diabetic patients. The purpose of this investigation was to evaluate the value of EE in predicting cardiac events in diabetics. Methods 193 diabetic patients, 97 males, 59.8 ± 9.3 yrs (mean ± SD) were submitted to EE between 2001 and 2006 and followed from 7 to 65 months with median of 29 months by phone calls and personal interviews with patients and their primary physician, and reviewing medical records and death certificates. The end points were cardiac events, defined as non-fatal myocardial infarction, late myocardial revascularization and cardiac death. Sudden death without another explanation was considered cardiac death. Survival free of end points was estimated by the Kaplan-Meier method. Results Twenty-six cardiac events were registered in 24 individuals during the follow-up. The rates of cardiac events were 20.6 and 7% in patients with positive and negative EE, respectively (p < 0.001). Predictors of cardiac events included sedentary lifestyle, with RR of 2.57 95%CI [1.09 to 6.02] (P = 0.03) and positive EE, with RR 3.63, 95%CI [1.44 to 9.16] (P = 0.01). Patients with positive EE presented higher rates of cardiac events at 12 months (6.8% vs. 2.2%), p = 0.004. Conclusion EE is a useful method to predict cardiac events in diabetic patients with suspected or known CAD. |
publishDate |
2009 |
dc.date.issued.fl_str_mv |
2009 |
dc.date.accessioned.fl_str_mv |
2014-10-06T19:28:09Z |
dc.date.available.fl_str_mv |
2014-10-06T19:28:09Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
OLIVEIRA, J. L. M. et. al. Prognostic value of exercise echocardiography in diabetic patients. Cardiovascular Ultrasound, Roma, v. 7, n. 24, 2009. Disponível em: <http://www.dx.doi.org/10.1186/1476-7120-7-24>. Acesso em: 06 out. 2014. |
dc.identifier.uri.fl_str_mv |
https://ri.ufs.br/handle/riufs/1295 |
dc.identifier.license.pt_BR.fl_str_mv |
Creative Commons Attribution License 4.0 |
identifier_str_mv |
OLIVEIRA, J. L. M. et. al. Prognostic value of exercise echocardiography in diabetic patients. Cardiovascular Ultrasound, Roma, v. 7, n. 24, 2009. Disponível em: <http://www.dx.doi.org/10.1186/1476-7120-7-24>. Acesso em: 06 out. 2014. Creative Commons Attribution License 4.0 |
url |
https://ri.ufs.br/handle/riufs/1295 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
BioMed Central Ltd. |
publisher.none.fl_str_mv |
BioMed Central Ltd. |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFS instname:Universidade Federal de Sergipe (UFS) instacron:UFS |
instname_str |
Universidade Federal de Sergipe (UFS) |
instacron_str |
UFS |
institution |
UFS |
reponame_str |
Repositório Institucional da UFS |
collection |
Repositório Institucional da UFS |
bitstream.url.fl_str_mv |
https://ri.ufs.br/jspui/bitstream/riufs/1295/4/PrognosticValue.pdf.jpg https://ri.ufs.br/jspui/bitstream/riufs/1295/1/PrognosticValue.pdf https://ri.ufs.br/jspui/bitstream/riufs/1295/2/license.txt https://ri.ufs.br/jspui/bitstream/riufs/1295/3/PrognosticValue.pdf.txt |
bitstream.checksum.fl_str_mv |
4a4d2fb26383c7013e18422444f4d4b9 2b491d4c915d50e4d80280b6d61cbd24 8a4605be74aa9ea9d79846c1fba20a33 f38175c8acf5675327c7321338ba2d8c |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFS - Universidade Federal de Sergipe (UFS) |
repository.mail.fl_str_mv |
repositorio@academico.ufs.br |
_version_ |
1802110799095791616 |