Finds of Miocardy Perfusion in diabetic asymptomatic patients without previous AMI

PALLARES A; ABALSA A; JOO TURONI, CLAUDIO; ROVALETTI F; CASTELLANOS R

Buenos Aires

Congreso; XVI Congreso Mundial de Cardiología; 2008

Objectives: Identify by miocardy perfusion the presence of ischemical cardiopathy in diabetic asymptomatic patients. Procedents: In the diabetic patients, coronary desease is severer. There is major prevalency in those patients than in the rest of the population. This desease is likely to be present in earlier ages in diabetic patients, being the silent schemia the most frequent. In diabetic patients, coronary arterial patology is generally detected in advanced conditions, besides a decrease in the ventricular function.However, in asymtpomatic patients is detected lately. Methods: 178 diabetic patients were studied by miocardy perfusion in a period between April 2005 and December 2007, from whom those patients with known ischemic cardiopaty were excluded. The remaining 135 patients were divided into 2 groups: Asymptomatic (N_78); and B- asymptomatic (N_57). Results: The age, the sex distribution and the presence of risk factor, were similar for both symptomatic and asymptomatic patients. Normal perfusion was found in 73% of the symptomatic patients and 56% of asymptomatic patients (p:0.046). Presence of Acute Miocardial Infraction (AMI) was found in 9% of the asymptomatic patients and 20% of symptomatic patients. (p:0.042). Ischemia was shown in 7 % of both groups. Less than 60% of ejection fraction were found in 30% of symptomatic patients and 20% of asymptomatic patients (p:NS for both groups). Conclusion: Miocardy Pefusion was effective in diabetic patients without AMI. 20% of synmptomatic patients and 9% of asymptomatics patients of these group showed the presence of AMI, as this method is very useful to identify diabetic asymptomatic patients without previos AMI.