Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort
Authors
Mohammad Esmail Gheydari1, Mohsen Jamali1, Farhad Hajsheikholeslami2,*, Shahrooz Yazdani1, Mina Jamali3
1Cardiology Department, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, IR Iran
2Research Institute for Endocrine sciences, Shahid Beheshti University of Medical Sciences, fsheikholeslami@yahoo.com, IR Iran
3Tehran University of Medical Sciences, IR Iran
*Corresponding Author: Research Institute for Endocrine Sciences, Shahid Beheshti, University of Medical Sciences, fsheikholeslami@yahoo.com, IR Iran. Tel: +98-2122432503. Email: fsheikholeslami@yahoo.com
International Journal of Endocrinology and Metabolism:Vol. 11, issue 1; 11-5
Published online:Dec 21, 2012
Article type:Research Article
Received:Feb 20, 2012
Accepted:Jun 16, 2012
How to Cite:Gheydari ME, Jamali M, Hajsheikholeslami F, Yazdani S, Jamali M. Value of Exercise Tolerance Testing in Evaluation of Diabetic Patients Presented With Atypical Chest Discomfort. Int J Endocrinol Metab. 2012;11(1):. doi: https://doi.org/10.5812/ijem.4284
Abstract
Background:
Coronary artery disease is the single most important cause of mortality and morbidity in diabetic patients. Electrocardiographic stress test is a non-invasive modality to screen significant coronary involvement in minimally symptomatic diabetics.
Objectives:
We investigated the Positive Predictive Value (PPV) of this test in comparison with coronary angiography.
Materials and Methods:
130 diabetic patients with atypical chest discomfort were studied and tested using Exercise Tolerance Test (ETT) among which 100 cases showed positive results that further were studied invasively by selective coronary angiography.
Results:
The positive predictive value of ETT for diagnosis of Coronary Artery Disease (CAD)among diabetic patients presented with atypical chest discomfort was 77%.
Conclusion:
We conclude that electrocardiographic stress test is a valuable inexpensive non-invasive screening test in diabetic patients with atypical chest discomfort.
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