%0 Journal Article
%T Risk stratification of diabetic patients with unusual cardiac symptoms using a myocardial perfusion scan.
%A Sarejloo S
%A Dehghani F
%A Hatamnejad MR
%A Jahangiri S
%A Ghaedian T
%A Salimi M
%A Bazrafshan Drissi H
%J ARYA Atheroscler
%V 19
%N 1
%D 2023 Jan
%M 38883157
暂无%R 10.48305/arya.2022.11824.2494
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>The study included 222 (177 female) subjects with mean ages of 63.01±11.62 and 59.41±9.19 in positive and negative SPECT, respectively. The most common symptoms were atypical chest pain (51.8%), followed by shortness of breath (50.5%), nausea, and syncope (0.9%). 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<0.001). However, ejection fraction (EF), end-diastolic volume (EDV), and end-systolic volumes (ESV) parameters were not (P=.0.328, 0.351, and 0.443, respectively).<BR><B>CONCLUSIONS: </B>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.