Prognostic value of exercise echocardiography in diabetic patients

Oliveira, Joselina Luzia Menezes; Barreto‐Filho, José Augusto; Oliveira, Carla R. P.; Santana, Thaiana Aragão; Anjos-Andrade, Fernando D; Alves, Erica O; Nascimento-Junior, Adão C.; Góes, Thiago J S; Santana, Nathalie Oliveira de; Vasconcelos, Francis Lima; Barreto, Martha Azevedo; Júnior, Argemiro D’Oliveira; Salvatori, Roberto; Aguiar‐Oliveira, Manuel H.; Sousa, Antônio Carlos Sobral

doi:10.1186/1476-7120-7-24

Cited by 8 publications

(2 citation statements)

References 30 publications

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“…The ESE also showed a significant prognostic value for late cardiac events in patients with atrial fibrillation, as demonstrated in the study by Poldermans et al 19 . A study by Oliveira et al 20 , with the objective to evaluate the prognostic value of ESE in patients with diabetes, showed that those with normal ESE had low rates of cardiac events in the first year after the examination.…”

Section: Discussionmentioning

confidence: 99%

Valor prognóstico da ecocardiografia sob estresse físico em portadores de bloqueio do ramo esquerdo

Vasconcelos¹,

Santos²,

Santana³

et al. 2011

Arq. Bras. Cardiol.

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Section: Discussionmentioning

confidence: 99%

Valor prognóstico da ecocardiografia sob estresse físico em portadores de bloqueio do ramo esquerdo

Vasconcelos¹,

Santos²,

Santana³

et al. 2011

Arq. Bras. Cardiol.

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“…Diabetics with findings of ischemia on Exercise Echocardiography (EE) had worse cardiac outcomes compared to general population. Thereafter, EE could indeed be a tool for the prediction of adverse outcomes in diabetics with cardiovascular disease [ 47 ].…”

Section: Stress Echomentioning

confidence: 99%

Echocardiography, an Indispensable Tool for the Management of Diabetics, with or without Coronary Artery Disease, in Clinical Practice

et al. 2020

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Diabetes mellitus is a major factor contributing to the development of cardiovascular disease. As morbidity and mortality rates rise dramatically, when target organ damage develops pre-symptomatic assessment is critical for the management of diabetic patients. Echocardiography is a noninvasive and reproducible method that may aid in risk stratification and in evaluation of treatment effects. The aim of this review is to analyze the echocardiographic techniques which can detect early alteration in cardiac function in patients with diabetes.

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Precision prognostics for cardiovascular disease in Type 2 diabetes: a systematic review and meta-analysis

Ahmad,

Lim,

Morieri

et al. 2024

Commun Med

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Background Precision medicine has the potential to improve cardiovascular disease (CVD) risk prediction in individuals with Type 2 diabetes (T2D). Methods We conducted a systematic review and meta-analysis of longitudinal studies to identify potentially novel prognostic factors that may improve CVD risk prediction in T2D. Out of 9380 studies identified, 416 studies met inclusion criteria. Outcomes were reported for 321 biomarker studies, 48 genetic marker studies, and 47 risk score/model studies. Results Out of all evaluated biomarkers, only 13 showed improvement in prediction performance. Results of pooled meta-analyses, non-pooled analyses, and assessments of improvement in prediction performance and risk of bias, yielded the highest predictive utility for N-terminal pro b-type natriuretic peptide (NT-proBNP) (high-evidence), troponin-T (TnT) (moderate-evidence), triglyceride-glucose (TyG) index (moderate-evidence), Genetic Risk Score for Coronary Heart Disease (GRS-CHD) (moderate-evidence); moderate predictive utility for coronary computed tomography angiography (low-evidence), single-photon emission computed tomography (low-evidence), pulse wave velocity (moderate-evidence); and low predictive utility for C-reactive protein (moderate-evidence), coronary artery calcium score (low-evidence), galectin-3 (low-evidence), troponin-I (low-evidence), carotid plaque (low-evidence), and growth differentiation factor-15 (low-evidence). Risk scores showed modest discrimination, with lower performance in populations different from the original development cohort. Conclusions Despite high interest in this topic, very few studies conducted rigorous analyses to demonstrate incremental predictive utility beyond established CVD risk factors for T2D. The most promising markers identified were NT-proBNP, TnT, TyG and GRS-CHD, with the highest strength of evidence for NT-proBNP. Further research is needed to determine their clinical utility in risk stratification and management of CVD in T2D.

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Prognostic value of exercise echocardiography in diabetic patients

Cited by 8 publications

References 30 publications

Valor prognóstico da ecocardiografia sob estresse físico em portadores de bloqueio do ramo esquerdo

Valor prognóstico da ecocardiografia sob estresse físico em portadores de bloqueio do ramo esquerdo

Echocardiography, an Indispensable Tool for the Management of Diabetics, with or without Coronary Artery Disease, in Clinical Practice

Precision prognostics for cardiovascular disease in Type 2 diabetes: a systematic review and meta-analysis

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