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首页> 外文期刊>Diabetes & vascular disease research: official journal of the International Society of Diabetes and Vascular Disease >Holter monitoring for the screening of cardiac disease in diabetes mellitus: The non-invasive Holter monitoring observation of new cardiac events in diabetics study.
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Holter monitoring for the screening of cardiac disease in diabetes mellitus: The non-invasive Holter monitoring observation of new cardiac events in diabetics study.

机译：动态心电图监测用于筛查糖尿病性心脏病：糖尿病研究中新心脏事件的非侵入性动态心电图监测观察。

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摘要

We investigated the usefulness of Holter monitoring to detect cardiac disease and predict future cardiovascular risk in asymptomatic diabetic patients. This is a multi-centre, prospective study in 406 asymptomatic diabetic patients. They were categorized into three groups based on findings of Holter monitoring. A total of 377 met inclusion criteria and were classified as low (n?=?172), moderate (n?=?136) and high risk (n?=?69). In total, 86 in moderate and 53 in high risk receive further evaluation. In total, 29 in moderate and 25 in high risk were diagnosed as cardiac disease and 12 required additional treatment, including coronary intervention. Over 1.8?years of mean follow-up, 11 (16.5 per 1000?person-years) experienced cardiovascular events. The cumulative incidence in moderate and high risk was higher than that in low risk (p?=?0.029 and p?=?0.014, respectively). Our study suggests that Holter monitoring may be a useful screening tool to detect cardiac disease and predict future cardiovascular risk in asymptomatic diabetic patients.
机译：我们调查了动态心电图监测在无症状糖尿病患者中检测心脏病和预测未来心血管风险的有用性。这是一项针对406名无症状糖尿病患者的多中心，前瞻性研究。根据动态心电图监测的结果将它们分为三类。共有377个符合入选标准，分为低（n≥172），中度（n≥136）和高风险（n≥69）。总共有86位中度风险和53位高风险风险得到进一步评估。总共诊断为心脏病的中度风险为29，高风险的风险为25，需要12的额外治疗，包括冠状动脉介入治疗。平均随访超过1.8年，有11次（每1000人年16.5次）经历了心血管事件。中高风险的累积发生率高于低风险的累积发生率（分别为p？=？0.029和p？=？0.014）。我们的研究表明，动态心电图监测可能是检测无症状糖尿病患者心脏病和预测未来心血管风险的有用筛查工具。

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