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Effects of type 2 diabetes mellitus on coronary microvascular function and myocardial perfusion in patients without obstructive coronary artery disease (170 visite)

Marciano C, Galderisi M, Gargiulo P, Acampa W, D'Amore C, Esposito R, Capasso E, Savarese G, Casaretti L, Lo Iudice F, Esposito G, Rengo G, Leosco D, Cuocolo A, Perrone-Filardi P

Eur J Nucl Med (ISSN: 1619-7070, 1619-7089, 0340-6997), 2012 Jul; 39(7): 1199-1206.

Tipo di articolo: Journal Article,

Impact factor: 5.114

Impact factor a 5 anni: 4.821


Parole chiave: Microvascular Dysfunction, Myocardial Perfusion Imaging, Type 2 Diabetes Mellitus, Dipyridamole, Glycosylated Hemoglobin, Adult, Angiocardiography, Article, Cardiovascular Risk, Clinical Article, Cold Pressor Test, Controlled Study, Coronary Artery Blood Flow, Coronary Microvascular Function, Diabetic Patient, Female, Heart Function, Heart Muscle Ischemia, Heart Muscle Perfusion, Human, Non Insulin Dependent Diabetes Mellitus, Prospective Study, Single Photon Emission Computer Tomography, Transthoracic Echocardiography, Case-Control Studies, Coronary Angiography, Coronary Artery Disease, Coronary Circulation, Coronary Disease, Diabetic Angiopathies, Doppler, Microvessels, Middle Aged, Myocardial Ischemia, Prospective Studies, Technetium Tc 99m Sestamibi, Emission-Computed, Single-Photon,

Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-84862672607&partnerID=40&md5=142908e5560d5df351f49933ac058bd1

Purpose: We assessed the impact of type 2 diabetes, in the presence of other major cardiovascular risk factors, on coronary microvascular function and myocardial perfusion in patients without obstructive coronary artery disease (CAD). Methods: In this prospective study, 23 patients with type 2 diabetes and 26 nondiabetic patients matched for age, sex and other cardiovascular risk factors underwent a cold pressure test (CPT) and dipyridamole transthoracic echocardiography to determine their coronary flow (CF) ratio. Within 2 weeks, all diabetic patients also underwent dipyridamole-rest myocardial perfusion single-photon emission (MPS) CT. None of the patients with or without diabetes had significant CAD on invasive coronary angiography. Results: The CPT-CF ratio was significantly lower in diabetic patients than in nondiabetic patients (1.46±0.26 vs. 1.71±0.32, p=0.006) and was correlated significantly with fasting glycaemia (r=-0.35, p=0.01), but not with glycated haemoglobin. The dipyridamole-CF ratio was also lower in diabetic patients than in nondiabetic patients (2.38±0.74 vs. 2.75±0.49, p=0.04). On MPS imaging, 5 diabetic patients (22%) had stress-induced ischaemia and the remaining 18 (78%) had normal myocardial perfusion. The dipyridamole-CF ratio was not different in patients with and without reversible defects (2.3±1.1 vs. 2.4±0.6, p=0.97). Conclusion: Coronary microvascular function is impaired in type 2 diabetic patients without significant CAD, compared to nondiabetic patients with similar other cardiovascular risk factors. In the majority of diabetic patients, microvascular dysfunction is associated with normal myocardial perfusion. © 2012 Springer-Verlag.
*** IBB - CNR ***

Department of Clinical Medicine, Cardiovascular and Immunological Sciences, University Federico II, Napoli, Italy

Institute of Biostructures and Bioimages, National Council of Research, Napoli, Italy

Department of Biomorphological and Functional Sciences, University Federico II, Napoli, Italy

SDN Foundation, Institute of Diagnostic and Nuclear Development, Napoli, Italy
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Pitkanen, O. P., Nuutila, P., Raitakari, O. T., Ronnemaa, T., Koskinen, P. J., Iida, H., Coronary flow reserve is reduced in young men with IDDM (1998) Diabetes, 47, pp. 248-254. , 9519721 10. 2337/diabetes. 47. 2. 248 1: CAS: 528: DyaK1cXntVOitQ%3D%3D

Camici, P. G., Crea, F., Coronary microvascular dysfunction (2007) N Engl J Med, 356, pp. 830-840. , 17314342 10. 1056/NEJMra061889 1: CAS: 528: DC%2BD2sXhvFKltLY%3D

Di Carli, M. F., Janisse, J., Grunberger, G., Ager, J., Role of chronic hyperglycemia in the pathogenesis of coronary microvascular dysfunction in diabetes (2003) J Am Coll Cardiol, 41, pp. 1387-1393. , 12706936 10. 1016/S0735-1097 (03) 00166-9

Lang, R. M., Bieriq, M., Devereux, R. B., Devereux, R. B., Flachskampf, F. A., Foster, E., Recommendations for chamber quantification (2006) Eur J Echocardiogr, 7, pp. 79-108. , 16458610 10. 1016/j. euje. 2005. 12. 014

Fox, K., Garcia, M. A., Ardissino, D., Buszman, P., Camici, P. G., Crea, F., ESC guidelines on the management of stable angina pectoris (2006) Eur Heart J, 27, pp. 1341-1381. , 16735367 10. 1093/eurheartj/ehl001

Rodbard, H. W., Blonde, L., Braithwaite, S. S., Brett, E. M., Cobin, R. H., Handelsman, Y., American Association of Clinical Endocrinologists medical guidelines for clinical practice for the management of diabetes mellitus (2007) Endocr Pract, 13, pp. 1-68. , 17613449

Wirch, J. L., Wolfe, L. A., Weissgerber, T. L., Davies, G. A., Cold pressor test protocol to evaluate cardiac autonomic function (2006) Appl Physiol Nutr Metab, 31, pp. 235-243. , 16770350 10. 1139/h05-018

Siegrist, P. T., Gaemperli, O., Koepfli, P., Schepis, T., Namdar, M., Valenta, I., Repeatability of cold pressor test-induced flow increase assessed with H (2) (15) O and PET (2006) J Nucl Med, 47, pp. 1420-1426. , 16954548

Hesse, B., T gil, K., Cuocolo, A., Anagnostopoulos, C., Bardi s, M., Bax, J., EANM/ESC procedural guidelines for myocardial perfusion imaging in nuclear cardiology (2005) Eur J Nucl Med Mol Imaging, 32, pp. 855-897. , 15909197 10. 1007/s00259-005-1779-y 1: STN: 280: DC%2BD2Mzpt1Kjsg%3D%3D

Schindler, T. H., Nitzasche, E. U., Schelbert, H. R., Olschewski, M., Saayre, J., Mix, M., Positron emission tomography-measured abnormal responses of myocardial blood flow to sympathetic stimulation are associated with the risk of developing cardiovascular events (2005) J Am Coll Cardiol, 45, pp. 1505-1512. , 15862426 10. 1016/j. jacc. 2005. 01. 040

Herzog, B. A., Husmann, L., Valenta, I., Gaemperli, O., Siegrist, P. T., Tay, F. M., Long-term prognostic value of 13N-ammonia myocardial perfusion positron emission tomography added value of coronary flow reserve (2009) J Am Coll Cardiol, 54, pp. 150-156. , 19573732 10. 1016/j. jacc. 2009. 02. 069

Mahfouz, R. A., Dwidar, A. E., El Tahlawi, M. A., Endothelial-mediated coronary flow reserve and its relation to mitral annular tissue Doppler velocities in offspring of hypertensive parents (2011) Echocardiography, 28, pp. 1113-1118. , 21854435 10. 1111/j. 1540-8175. 2011. 01484. x

Moro, P. J., Flavian, A., Jacquier, A., Kober, F., Quilici, J., Gaborit, B., Gender differences in response to cold pressor test assessed with velocity-encoded cardiovascular magnetic resonance of the coronary sinus (2011) J Cardiovasc Magn Reson, 13, pp. 54-62. , 21943255 10. 1186/1532-429X-13-54

Williams, S. B., Goldfine, A. B., Timimi, F. K., Ting, H. H., Roddy, M. A., Simonson, D. C., Acute hyperglycemia attenuates endothelium-dependent vasodilation in humans in vivo (1998) Circulation, 97, pp. 1695-1701. , 9591763 1: CAS: 528: DyaK1cXjsVSrsb8%3D

Nabel, E. G., Ganz, P., Gordon, J. B., Alexander, R. W., Selwyn, A. P., Dilation of normal and constriction of atherosclerotic coronary arteries caused by the cold pressure test (1988) Circulation, 77, pp. 43-52. , 2826047 10. 1161/01. CIR. 77. 1. 43 1: STN: 280: DyaL1c%2FotV2hsA%3D%3D

Schindler, T. H., Magosaki, N., Jeserich, M., Olschewski, M., Nitzsche, E., Holubarsch, C., Effect of ascorbic acid on endothelial dysfunction in chronic smokers assessed by cold pressure testing (2000) Cardiology, 94, pp. 239-246. , 11326145 10. 1159/000047324 1: CAS: 528: DC%2BD3MXktVShu7Y%3D

Kiviniemi, T. O., Toikka, J. O., Koskenvuo, J. W., Sabaste, A., Saraste, M., Parkka, J. P., Vasodilation of epicardial coronary artery can be measured with transthoracic echocardiography (2007) Ultrasound Med Biol, 33, pp. 362-370. , 17188799 10. 1016/j. ultrasmedbio. 2006. 08. 012

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* Prognostic value of normal stress myocardial perfusion imaging in diabetic patients: a meta-analysis (89 visite)
J Nucl Cardiol (ISSN: 1532-6551, 1071-1358, 1071-3581), 2014 Oct; 21(5): 893-902.
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Acampa W, Petretta M, Cuocolo R, Daniele S, Cantoni V, Cuocolo A
* Warranty period of normal stress myocardial perfusion imaging in diabetic patients: A propensity score analysis (123 visite)
J Nucl Cardiol (ISSN: 1071-3581, 1532-6551, 1532-6551electronic), 2014 Feb; 21(1): 50-56.
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Petretta M, Acampa W, Evangelista L, Daniele S, Zampella E, Assante R, Nappi C, Cantoni V, Fiumara G, Cuocolo A
* Reclassification of cardiovascular risk by myocardial perfusion imaging in diabetic patients with abnormal resting electrocardiogram (109 visite)
Nutrition (ISSN: 0939-4753, 1590-3729electronic), 2014; 24(6): 588-593.
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Ferro A, Petretta M, Acampa W, Fiumara G, Daniele S, Petretta MP, Cantoni V, Cuocolo A
* Post-stress left ventricular ejection fraction drop in patients with diabetes: A gated myocardial perfusion imaging study (116 visite)
Bmc Cardiovasc Disord Bmc Cardiovascular Disorders (ISSN: 1471-2261), 2013 Nov 14; 13: 99-99.
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Zampella E, Acampa W, Petretta M, Daniele S, Assante R, Plaitano M, Cantoni V, Cuocolo A
* Warranty Period of Normal Stress Myocardial Perfusion Imaging in Diabetic and Non-diabetic Patients: a Propensity Score Analysis (76 visite)
Eur J Nucl Med (ISSN: 1619-7070, 1619-7089, 0340-6997), 2013 Oct; 40: N/D-N/D.
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Acampa W, Petretta MP, Daniele S, Perrone-Filardi P, Petretta M, Cuocolo A
* Myocardial perfusion imaging after coronary revascularization: A clinical appraisal (133 visite)
Eur J Nucl Med (ISSN: 1619-7070, 1619-7089, 0340-6997), 2013 Sep; 40(8): 1275-1282.
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Acampa W, Petretta M, Daniele S, Del Prete G, Assante R, Zampella E, Cuocolo A
* Incremental prognostic value of stress myocardial perfusion imaging in asymptomatic diabetic patients (103 visite)
Atherosclerosis (ISSN: 0021-9150, 1879-1484), 2013 Apr; 227(2): 307-312.
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Petretta M, Acampa W, Daniele S, Petretta MP, Nappi C, Assante R, Zampella E, Costanzo P, Perrone-Filardi P, Cuocolo A
* Transient ischemic dilation in SPECT myocardial perfusion imaging for prediction of severe coronary artery disease in diabetic patients (126 visite)
J Nucl Cardiol (ISSN: 1071-3581, 1532-6551, 1532-6551electronic), 2013 Feb; 20(1): 45-52.
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Assante R, Petretta M, Acampa W, Daniele S, Nappi C, Zampella E, Perrone-Filardi P, Cuocolo A
* Prediction of Severe Coronary Artery Disease in Diabetic Patients with Gated SPECT Myocardial Perfusion Imaging (71 visite)
Eur J Nucl Med (ISSN: 1619-7070, 1619-7089, 0340-6997), 2012 Oct; 39: N/D-N/D.
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Perrone-filardi P, Cuocolo A, Dellegrottaglie S
Myocardial perfusion imaging in very elderly patients with suspected coronary artery disease: never too late! (112 visite)
J Nucl Cardiol (ISSN: 1532-6551, 1071-3581, 1532-6551electronic), 2012 Apr; 19(2): 224-226.
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Acampa W, Petretta M, Evangelista L, Daniele S, Xhoxhi E, De Rimini ML, Cittanti C, Marranzano F, Spadafora M, Baldari S, Mansi L, Cuocolo A
* Myocardial perfusion imaging and risk classification for coronary heart disease in diabetic patients. The IDIS study: A prospective, multicentre trial (112 visite)
Eur J Nucl Med (ISSN: 1619-7070, 1619-7089, 0340-6997), 2012 Mar; 39(3): 387-395.
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Striano P, Caranci F, Pappata S, Zara F, Striano S
* Hemidystonia in uncontrolled type 2 diabetes mellitus (46 visite)
Arch Neurol (ISSN: 1538-3687electronic, 0003-9942linking), 2011 May; 68(5): 674-675.
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Bozzetto L, Prinster A, Mancini M, Giacco R, De Natale C, Salvatore M, Riccardi G, Rivellese AA, Annuzzi G
* Liver fat in obesity: role of type 2 diabetes mellitus and adipose tissue distribution (113 visite)
European Journal Of Clinical Investigation (ISSN: 0014-2972, 1365-2362), 2011 Jan; 41(1): 39-44.
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Cuocolo A, Petretta M, Acampa W, De Falco T
* Gated SPECT myocardial perfusion imaging: The further improvements of an excellent tool (126 visite)
Q J Nucl Med Mol Imaging (ISSN: 1824-4785, 1824-4478, 1824-4785linking), 2010 Apr; 54(2): 129-144.
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Cittanti C, Casali M, Mele D, Giganti M, Acampa W, Panareo S, Prandini N, Feggi LM, Ferrari R, Cuocolo A
* Predictive value of gated-SPECT myocardial perfusion imaging in type II diabetic patients with and without coronary artery disease (67 visite)
Eur J Nucl Med (ISSN: 1619-7070, 1619-7089, 0340-6997), 2007 Oct; 34: N/D-N/D.
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Ferro A, Spinelli L, Acampa W, Pellegrino T, Capacchione D, De Corato G, Petretta M, Cuocolo A
* Direct Comparison of Interpretative Reproducibility of Stress Myocardial Perfusion Imaging and Stress Echocardiography for the Detection of Inducible Ischemia (101 visite)
Eur J Nucl Med (ISSN: 1619-7070, 1619-7089, 0340-6997), 2005 Sep; 32: N/D-N/D.
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Acampa W, Spinelli L, Petretta M, De Lauro F, Ibello F, Cuocolo A
* Prognostic value of myocardial ischemia in patients with uncomplicated acute myocardial infarction: Direct comparison of stress echocardiography and myocardial perfusion imaging (93 visite)
J Nucl Med (ISSN: 0161-5505, 1535-5667, 1535-5667electronic), 2005 Mar; 46(3): 417-423.
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Cuocolo A, Acampa W, Imbriaco M, De Luca N, Iovino GL, Salvatore M
* The many ways to myocardial perfusion imaging (118 visite)
Q J Nucl Med Mol Imaging (ISSN: 1824-4785, 1824-4478, 1824-4785linking), 2005 Mar; 49(1): 4-18.
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Acampa W, He W, di Nuzzo C, Cuocolo A
* Quantification of SPECT myocardial perfusion imaging (75 visite)
J Nucl Cardiol (ISSN: 1071-3581, 1532-6551, 1532-6551electronic), 2002 May; 9(3): 338-342.
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30 Records (22 escludendo Abstract e Conferenze).
Impact factor totale: 106.522 (81.059 escludendo Abstract e Conferenze).
Impact factor a 5 anni totale: 101.499 (75.938 escludendo Abstract e Conferenze).







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Ultima modifica di Marco Comerci in data Thursday 19 March 2015, 14:44:29
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Ultimo aggiornamento: Thursday 15 November 2018, 17:18:12