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Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort

BACKGROUND: Coronary artery disease is the single most important cause of mortality and morbidity in diabetic patients. Electrocardiographic stress test is a non-invasive modality to screen significant coronary involvement in minimally symptomatic diabetics. OBJECTIVES: We investigated the Positive...

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Autores principales: Gheydari, Mohammad Esmail, Jamali, Mohsen, Hajsheikholeslami, Farhad, Yazdani, Shahrooz, Jamali, Mina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693649/
https://www.ncbi.nlm.nih.gov/pubmed/23853614
http://dx.doi.org/10.5812/ijem.4284
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author Gheydari, Mohammad Esmail
Jamali, Mohsen
Hajsheikholeslami, Farhad
Yazdani, Shahrooz
Jamali, Mina
author_facet Gheydari, Mohammad Esmail
Jamali, Mohsen
Hajsheikholeslami, Farhad
Yazdani, Shahrooz
Jamali, Mina
author_sort Gheydari, Mohammad Esmail
collection PubMed
description BACKGROUND: Coronary artery disease is the single most important cause of mortality and morbidity in diabetic patients. Electrocardiographic stress test is a non-invasive modality to screen significant coronary involvement in minimally symptomatic diabetics. OBJECTIVES: We investigated the Positive Predictive Value (PPV) of this test in comparison with coronary angiography. MATERIALS AND METHODS: 130 diabetic patients with atypical chest discomfort were studied and tested using Exercise Tolerance Test (ETT) among which 100 cases showed positive results that further were studied invasively by selective coronary angiography. RESULTS: The positive predictive value of ETT for diagnosis of Coronary Artery Disease (CAD)among diabetic patients presented with atypical chest discomfort was 77%. CONCLUSION: We conclude that electrocardiographic stress test is a valuable inexpensive non-invasive screening test in diabetic patients with atypical chest discomfort.
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spelling pubmed-36936492013-07-12 Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort Gheydari, Mohammad Esmail Jamali, Mohsen Hajsheikholeslami, Farhad Yazdani, Shahrooz Jamali, Mina Int J Endocrinol Metab Research Article BACKGROUND: Coronary artery disease is the single most important cause of mortality and morbidity in diabetic patients. Electrocardiographic stress test is a non-invasive modality to screen significant coronary involvement in minimally symptomatic diabetics. OBJECTIVES: We investigated the Positive Predictive Value (PPV) of this test in comparison with coronary angiography. MATERIALS AND METHODS: 130 diabetic patients with atypical chest discomfort were studied and tested using Exercise Tolerance Test (ETT) among which 100 cases showed positive results that further were studied invasively by selective coronary angiography. RESULTS: The positive predictive value of ETT for diagnosis of Coronary Artery Disease (CAD)among diabetic patients presented with atypical chest discomfort was 77%. CONCLUSION: We conclude that electrocardiographic stress test is a valuable inexpensive non-invasive screening test in diabetic patients with atypical chest discomfort. Kowsar 2012-12-21 2013 /pmc/articles/PMC3693649/ /pubmed/23853614 http://dx.doi.org/10.5812/ijem.4284 Text en Copyright © 2013, Research Institute For Endocrine Sciences and Iran Endocrine Society http://creativecommons.org/licenses/by/3/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Gheydari, Mohammad Esmail
Jamali, Mohsen
Hajsheikholeslami, Farhad
Yazdani, Shahrooz
Jamali, Mina
Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort
title Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort
title_full Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort
title_fullStr Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort
title_full_unstemmed Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort
title_short Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort
title_sort value of exercise tolerance testing in evaluation of diabetic patients presented with atypical chest discomfort
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3693649/
https://www.ncbi.nlm.nih.gov/pubmed/23853614
http://dx.doi.org/10.5812/ijem.4284
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