Abstract

PENA QUIAN, Yamilé et al. Diagnosis of silent myocardial ischemia in type 2 diabetic patietns by electrocardiogram, ergometry and Gated-SPECT. Rev Cubana Invest Bioméd [online]. 2008, vol.27, n.3-4, pp. 0-0. ISSN 1561-3011.

31 aymptomatic type 2 diabetic patients were studied by lab tests, electrocardiogram, ergometry, Gated-SPECT and coronariography to determine the relation between the atherosclerotic risk factors and the silent myocardial ischemia. Patients were classified into two groups: positive SPECT and negative SPECT. Association tests were made for each variable and ROC curves were constructed to identify risk markers. In 35.5% of the patients silent myocardial ischemia was detected with a good angiographic correlation. A siginificant association was evidenced between positive SPECT and the atherosclerotic risk factors, namely, low values of HDLc, family pathological history of ischemic heart disease and peripheral vascular disease. The logistic regression models showed that low values of HDLc together with family pathological history of ischemic heart disease may be strong predictors of silent myocardial ischemia in asymptomatic type 2 diabetic patients

Keywords : Atherosclerotic risk factor; Gated-SPECT; type 2 diabetes mellitus; silent myocardial ischemia.