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January 26, 2011Diabetes CareOpen Access

Heart Rate Recovery After Exercise Is a Predictor of Silent Myocardial Ischemia in Patients With Type 2 Diabetes

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Why the study?

Does heart rate recovery after exercise predict silent myocardial ischemia in asymptomatic patients with type 2 diabetes?

Population

87 consecutive patients with type 2 diabetes and no chest symptoms.

Design

Cross-sectional

Authors

TYTomohide YamadaJichi Medical UniversityTYTakashi YoshitamaTokyo Rosai HospitalKMKunihiko MakinoNiigata Prefectural Shibata Hospital

Discussion

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Overview

HRR may aid SMI risk stratification in asymptomatic T2D; hypothesis-generating and requires prospective validation before practice change.

Structured PICO

Does heart rate recovery after exercise predict silent myocardial ischemia in asymptomatic patients with type 2 diabetes?

P
Population
87 consecutive patients with type 2 diabetes and no chest symptoms.
I
Intervention
Measurement of heart rate recovery (HRR) after treadmill exercise testing.
O
Outcome
Presence of silent myocardial ischemia (SMI) assessed by single-photon emission computed tomography imaging with thallium scintigraphy (and coronary angiography for abnormal images).surrogate

Slower heart rate recovery after exercise is an independent predictor of silent myocardial ischemia in asymptomatic patients with type 2 diabetes.

Cite This Study

Yamada et al. (2011) studied this question.

synapsesocial.com/papers/6a85647502d378e0d14e249ehttps://doi.org/10.2337/dc10-1424

Topics

Women and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Detection of Silent Myocardial Ischemia in Asymptomatic Diabetic Subjects2004 · 791 citations
  2. 2Impaired Chronotropic Response to Exercise Stress Testing in Patients With Diabetes Predicts Future Cardiovascular Events2008 · 26 citations
  3. 3Heart-Rate Profile during Exercise as a Predictor of Sudden Death2005 · 1,016 citations
  4. 4Effects of Autonomic Neuropathy on Coronary Blood Flow in Patients With Diabetes Mellitus1999 · 248 citations
  5. 5Diabetes and Cardiovascular Disease1999 · 2,699 citations