Clinically unrecognized Q-wave myocardial infarction in patients with diabetes mellitus, systemic hypertension, and nephropathy

During the Irbesartan Diabetic Nephropathy Trial, 1,387 participants with type 2 diabetes mellitus, hypertension, and nephropathy underwent serial electrocardiograms for the identification of Q-wave myocardial infarction (MI). During a mean follow-up of 2.5 years, 14 of 99 first nonfatal MIs in this...

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Veröffentlicht in:	The American journal of cardiology 2004-08, Vol.94 (3), p.337-339
Hauptverfasser:	Aguilar, David, Goldhaber, Samuel Z, Gans, Daniel J, Levey, Andrew S, Porush, Jerome G, Lewis, Julia B, Rouleau, Jean-Lucien, Berl, Tomas, Lewis, Edmund J, Pfeffer, Marc A
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Arterial hypertension. Arterial hypotension Biological and medical sciences Biphenyl Compounds - administration & dosage Blood and lymphatic vessels Cardiology. Vascular system Clinical manifestations. Epidemiology. Investigative techniques. Etiology Coronary heart disease Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - diagnosis Diabetes Mellitus, Type 2 - drug therapy Diabetes Mellitus, Type 2 - mortality Diabetic Angiopathies - diagnosis Diabetic Angiopathies - mortality Diabetic Nephropathies - diagnosis Diabetic Nephropathies - mortality Electrocardiography Female Follow-Up Studies Heart Humans Hypertension - complications Hypertension - diagnosis Hypertension - mortality Incidence Male Medical sciences Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - etiology Myocardial Infarction - mortality Myocarditis. Cardiomyopathies Prospective Studies Risk Assessment Severity of Illness Index Survival Analysis Tetrazoles - administration & dosage Treatment Outcome
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Beschreibung
Zusammenfassung:	During the Irbesartan Diabetic Nephropathy Trial, 1,387 participants with type 2 diabetes mellitus, hypertension, and nephropathy underwent serial electrocardiograms for the identification of Q-wave myocardial infarction (MI). During a mean follow-up of 2.5 years, 14 of 99 first nonfatal MIs in this group were clinically unrecognized, accounting for 14% of all first nonfatal MIs.
ISSN:	0002-9149 1879-1913
DOI:	10.1016/j.amjcard.2004.04.028