Key result
Exercise ECG stress testing detects CAD with ~79% accuracy in asymptomatic high-risk T2D patients.
Why the study?
Does exercise stress testing accurately detect silent myocardial ischaemia in asymptomatic high-risk type 2 diabetic patients?
Cross-Sectional (n=206)
Does exercise stress testing accurately detect silent myocardial ischaemia in asymptomatic high-risk type 2 diabetic patients?
Exercise stress testing has limited applicability and a notable false-negative rate in asymptomatic high-risk type 2 diabetic patients, suggesting alternative screening methods may be needed for those unable to perform the test or at high risk of false-negative results.
Authors
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Exercise ECG testing has limited utility for silent ischemia screening in high-risk type 2 diabetes; leaves open the need for prospective validation of alternatives.
Bacci et al. (2002) conducted a cross-sectional in Type 2 diabetes with additional atherogenic risk factors (n=206). Exercise electrocardiogram (ECG) stress test vs. Coronary angiography was evaluated on Applicability and accuracy of ECG stress test for detecting CAD (stenosis ≥70%). Exercise ECG stress testing in asymptomatic high-risk type 2 diabetic patients had an applicability of 68% and an accuracy of 79% for detecting coronary artery disease.
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