segunda-feira, julho 22, 2013

IMT até para diabéticos?

Combination of the Framingham Risk Score and Carotid Intima-Media Thickness Improves the Prediction of Cardiovascular Events in Patients With Type 2 Diabetes
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RESULTS: During a 5.4-year follow-up period, 85 incidences of CVD were recorded (10.9%). After adjustment for conventional arterial risk factors, multivariate analysis with the Cox proportional hazards model identified IMT, but not baPWV, as a significant determinant of CVD. In addition, the combination of FRS with IMT, but not with baPWV, improved the prediction of CVD.
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CONCLUSIONS: Carotid IMT is a significant predictor of CVD in asymptomatic type 2 diabetic patients, and the combination of FRS and IMT improves the prediction of CVD in these patients.
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Interessante...Sempre concluímos como desnecessária a análise do IMT no diabético. Estávamos errados:
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In conclusion, the current study showed that IMT is an independent risk factor for CVD in asymptomatic type 2 diabetic patients and that the combination of FRS and high IMT, but not baPWV, has a greater predictive power of CVD events compared with FRS alone.

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