@article { author = {Sarejloo, Shirin and Dehghani, Fatemeh and Hatamnejad, Mohammad Reza and Jahangiri, Soodeh and Ghaedian, Tahereh and Salimi, Maryam and Bazrafshan Drissi, Hamed}, title = {Risk stratification of diabetic patients with unusual cardiac symptoms using a myocardial perfusion scan}, journal = {ARYA Atherosclerosis Journal}, volume = {19}, number = {1}, pages = {44-52}, year = {2023}, publisher = {Cardiovascular research institute, Isfahan University of Medical Sciences}, issn = {1735-3955}, eissn = {2251-6638}, doi = {10.48305/arya.2022.11824.2494}, abstract = {Background: Autonomic nervous system dysfunction in diabetic patients can result in an atypical presentation of cardiovascular disease that can be missed. We aimed to use single-photon emission computed tomography (SPECT) to assess cardiovascular disease (CAD) in diabetic patients with atypical pain to determine whether the pain above reflects the CAD. Methods: Diabetic patients with atypical cardiac symptoms were referred to the SPECT department. Demographic data such as age, gender, diabetes status, and other underlying diseases were gathered. A myocardial perfusion scan was then performed. The results were recorded to evaluate the risk of myocardial ischemia and the degree of coronary artery involvement in a non-invasive manner. Results: The study included 222 (177 female) subjects with mean ages of 63.01±11.62 and 59.41±9.19 in positive and negative SPECT, respectively. The most common symptoms were atypical chest pain (51.8%), followed by shortness of breath (50.5%), nausea, and syncope (0.9%). Cardiac parameters, such as the summed stress score (SSS), summed rest score (SRS), total perfusion deficit in stress (TPD-s), total perfusion deficit in rest (TPD-r), were significantly higher in the group with coronary artery involvement (P<0.001). However, ejection fraction (EF), end-diastolic volume (EDV), and end-systolic volumes (ESV) parameters were not (P=.0.328, 0.351, and 0.443, respectively).Conclusions: The mere presence of diabetes does not necessitate any additional diagnostic tests beyond those required for the general population, and it is possible to follow a diagnostic course similar to that of the general population.}, keywords = {Diabetes Mellitus,Coronary Artery,Myocardial perfusion scan,Atypical Presentation,Atherosclerosis}, url = {https://arya.mui.ac.ir/article_26124.html}, eprint = {https://arya.mui.ac.ir/article_26124_ab89b4035bbec9c0a87f029586224e51.pdf} }