.
In 563 DM patients, Elhendy et al. (73) showed similar results. Those with an abnormal stress echocardiography experienced a higher event rate than those with a normal test at 1 year (2% vs. 0%), 3 years (12% vs. 2%), and 5 years (23% vs. 8%). No events were recorded in the first 2 years of follow-up among patients with a normal stress echocardiography.
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http://www.sciencedirect.com/science/article/pii/S1936878X15009687
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O que fazer com os DM assintomáticos.
A primeira ideia é: Nada.
Mas como o grupo é numeroso, todos os métodos querem demonstrar sua superioridade.
Vejam nesse artigo que o Ecoestresse é o mais em conta:
Cost-effectiveness of Screening for Coronary Artery Disease
in Asymptomatic Patients with Type 2 Diabetes and Additional
Atherogenic Risk Factors
J GEN INTERN MED 2004;19:1181–1191.
