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

AUTHORS

Mohammad Esmail Gheydari 1 , Mohsen Jamali 1 , Farhad Hajsheikholeslami 2 , * , Shahrooz Yazdani 1 , Mina Jamali 3

1 Cardiology Department, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, IR Iran

2 Research Institute for Endocrine sciences, Shahid Beheshti University of Medical Sciences, fsheikholeslami@yahoo.com, IR Iran

3 Tehran University of Medical Sciences, IR Iran

How to Cite: Gheydari M E, Jamali M, Hajsheikholeslami F, Yazdani S, Jamali M. Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort, Int J Endocrinol Metab. Online ahead of Print ; 11(1):11-5. doi: 10.5812/ijem.4284.

ARTICLE INFORMATION

International Journal of Endocrinology and Metabolism: 11 (1); 11-5
Published Online: December 21, 2012
Article Type: Original Article
Received: February 20, 2012
Accepted: June 16, 2012
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Abstract

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.

Keywords

Exercise Test Chest Pain Diabetes Coronary Angiography Ischemia

© 2012, International Journal of Endocrinology and Metabolism. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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