Risk stratification of diabetic patients with unusual cardiac symptoms using a myocardial perfusion scan
- سال انتشار: 1402
- محل انتشار: مجله آریا آترواسکلروز، دوره: 19، شماره: 1
- کد COI اختصاصی: JR_RYA-19-1_006
- زبان مقاله: انگلیسی
- تعداد مشاهده: 92
نویسندگان
Al-Zahra Charity Hospital, Department of Cardiology Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Al-Zahra Charity Hospital, Department of Cardiology Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Al-Zahra Charity Hospital, Department of Cardiology Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Shiraz University of Medical Sciences, Shiraz, Iran
Al-Zahra Charity Hospital, Department of Cardiology Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background: Autonomic nervous system dysfunction in diabetic patients can result in an atypical presentation of cardiovascular disease that can be missed. We aimed to use single-photon emission computed tomography (SPECT) to assess cardiovascular disease (CAD) in diabetic patients with atypical pain to determine whether the pain above reflects the CAD. Methods: Diabetic patients with atypical cardiac symptoms were referred to the SPECT department. Demographic data such as age, gender, diabetes status, and other underlying diseases were gathered. A myocardial perfusion scan was then performed. The results were recorded to evaluate the risk of myocardial ischemia and the degree of coronary artery involvement in a non-invasive manner. Results: The study included ۲۲۲ (۱۷۷ female) subjects with mean ages of ۶۳.۰۱±۱۱.۶۲ and ۵۹.۴۱±۹.۱۹ in positive and negative SPECT, respectively. The most common symptoms were atypical chest pain (۵۱.۸%), followed by shortness of breath (۵۰.۵%), nausea, and syncope (۰.۹%). Cardiac parameters, such as the summed stress score (SSS), summed rest score (SRS), total perfusion deficit in stress (TPD-s), total perfusion deficit in rest (TPD-r), were significantly higher in the group with coronary artery involvement (P< ۰.۰۰۱). However, ejection fraction (EF), end-diastolic volume (EDV), and end-systolic volumes (ESV) parameters were not (P=.۰.۳۲۸, ۰.۳۵۱, and ۰.۴۴۳, respectively).Conclusions: The mere presence of diabetes does not necessitate any additional diagnostic tests beyond those required for the general population, and it is possible to follow a diagnostic course similar to that of the general population.کلیدواژه ها
Diabetes Mellitus, Coronary Artery, Myocardial perfusion scan, Atypical Presentation, Atherosclerosisاطلاعات بیشتر در مورد COI
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