(Journal Article): The Association of Silent Coronary Artery Disease and Metabolic Syndrome in Chinese with Type 2 Diabetes Mellitus
Tsai JCR, Chang DM, Chung FM, Wu JC, Shin SJ, Lee YJ (Department of Clinical Research, Ping-Tung Christian Hospital, Ping-Tung 90000, Taiwan,
t3275(at)ms25.hinet.net
)
IN:
Rev Diabetic Stud
2004; 1(1):18-28
Impact Factor(s) of Rev Diabetic Stud: 0.125 (2006)
ABSTRACT: OBJECTIVES: Cardiovascular diseases account for approximately 75% of the deaths that occur in patients with diabetes. Because the clinical signs of coronary artery disease (CAD) in diabetic patients are hard to detect and routine screening is costly, it would be of great benefit to try to either prevent CAD from occurring or to detect it early and provide optimal care. Therefore, we analyzed the risk factors that might predict CAD in type 2 diabetes mellitus (T2DM) patients with no classical cardiac ischemic symptoms. METHODS: Using a resting 12-lead ECG, exercise tread-mill test, or thallium myocardial scintigraphy with exercise testing and dipyridamole injection, we screened diabetic patients already enrolled in a disease management program for possible CAD. We used diagnostic coronary angiography to confirm its presence. The definition and criteria of meta-bolic syndrome we used were modified from those outlined by the WHO classification and criteria of NCEP-ATP III. RESULTS: A total of 850 T2DM patients without clinical and electrocardiographic evidence of CAD were studied. Three hundred and sixty-eight asymptomatic patients with normal resting ECG were examined by exercise ECG test or thallium scintigraphy examination. Sixty patients considered to have a strong positive test or significant thallium myocardial ischemia received a diagnostic coronary angiography. Fifty-one were found to have significant coronary artery stenosis; 9 showed no significant ischemic lesion. While gender, patients’ age, known diabetes duration, serum uric acid level, smoking status, and the presence of WHO-metabolic syndrome defined hypertension and nephropathy were associated with silent CAD, logistic regression analysis found that the only predictor of silent CAD was the pres-ence of nephropathy. The components of NCEP-ATP III-metabolic syndrome were not found to be associated with silent CAD. CONCLUSIONS: A considerable proportion of T2DM patients have silent CAD. A diabetic patient with incipient or overt nephropathy should be examined for the presence of CAD. The definition of metabolic syndrome may be modified for early detection of CAD in patients with T2DM.
REFERENCES:
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(Journal Article): Diabetes, other risk factors, and 12-yr cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial.
Stamler J, Vaccaro O, Neaton JD, Wentworth D
IN:
Diabetes Care
1993; 16:434-44
Impact Factor(s) of Diabetes Care: 7.071 (2004), 7.501 (2003), 5.477 (2002), 5.404 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Increased incidence of coronary atherosclerosis in type 2 diabetes mellitus: mechanisms and management.
Hurst RT, Lee RW
IN:
Ann Intern Med
2003; 139:824-83
Impact Factor(s) of Ann Intern Med: 13.114 (2004), 12.427 (2003), 11.416 (2002), 11.13 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction.
Haffner SM, Lehto S, Ronnemaa T, Pyorala K, Laakso M
IN:
N Engl J Med
1998; 339:229-23
Impact Factor(s) of N Engl J Med: 44.016 (2005), 38.57 (2004), 34.833 (2003), 29.065 (2001)
Fulltext: HTML
TYPE OF PUBLICATION: Original article
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(Journal Article): Acute myocardial infarction in diabetes mellitus: lessons learned from ACE inhibition.
Nesto RW, Zarich S
IN:
Circulation
1998; 97:12-1
Impact Factor(s) of Circulation: 12.563 (2004), 11.164 (2003), 10.255 (2002), 10.517 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Acute myocardial infarction in the diabetic patient: pathophysiology, clinical course and prognosis.
Jacoby RM, Nesto RW
IN:
J Am Coll Cardiol
1992; 20:736-74
Impact Factor(s) of J Am Coll Cardiol: 9.133 (2004), 7.599 (2003), 6.278 (2002), 6.374 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Prevalence of asymptomatic myocardial ischaemia in diabetic subjects.
Koistinen MJ
IN:
BMJ
1990; 301:92-9
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Prevalence of unrecognized silent myocardial ischaemia and its association with atherosclerotic risk factors in noninsulin-dependent diabetes mellitus.
MiSAD Group
IN:
Am J Cardiol
1997; 79:134-13
Impact Factor(s) of Am J Cardiol: 3.14 (2004), 3.059 (2003), 2.637 (2001)
Fulltext: HTML
TYPE OF PUBLICATION: Original article
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(Journal Article): Consensus development conference on the diagnosis of coronary heart disease in people with diabetes.
American Diabetes Association
IN:
Diabetes Care
1998; 21:1551-155
Impact Factor(s) of Diabetes Care: 7.071 (2004), 7.501 (2003), 5.477 (2002), 5.404 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): ACC/AHA guidelines for exercise testing. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing)
Gibbons RJ, Balady GJ, Beasley JW, Bricker JT, Duvernoy WF, Froelicher VF, Mark DB, Marwick TH, McCallister BD, Thompson PD Jr, et al
IN:
J Am Coll Cardiol
1997; 30:260-31
Impact Factor(s) of J Am Coll Cardiol: 9.133 (2004), 7.599 (2003), 6.278 (2002), 6.374 (2001)
Fulltext: HTML
TYPE OF PUBLICATION: Original article
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(Journal Article): Verona Diabetes Study. Diabetes duration and cause-specific mortality in the Verona Diabetes Study.
Brun E, Nelson RG, Bennett PH, Imperatore G, Zoppini G, Verlato G, Muggeo M
IN:
Diabetes Care
2000; 23:1119-1123
Impact Factor(s) of Diabetes Care: 7.071 (2004), 7.501 (2003), 5.477 (2002), 5.404 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Prognosis for patients with different types of silent coronary artery disease.
Cohn PF
IN:
Circulation
1987; 75(3 Pt 2):II33-3
Impact Factor(s) of Circulation: 12.563 (2004), 11.164 (2003), 10.255 (2002), 10.517 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Significance of silent myocardial ischemia during exercise testing in patients with diabetes mellitus: A report from the Coronary Artery Surgery Study (CASS) Registry.
Weiner DA, Ryan TJ, Parsons L, Fisher LD, Chaitman BR, Sheffield LT, Tristani FE
IN:
Am J Cardiol
1991; 68:729-73
Impact Factor(s) of Am J Cardiol: 3.14 (2004), 3.059 (2003), 2.637 (2001)
Fulltext: HTML
TYPE OF PUBLICATION: Original article
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(Journal Article): Exercise electrocardiogram and coronary heart disease mortality in the Multiple Risk Factor Intervention Trial.
Multiple Risk Factor Intervention Trial Research Group
IN:
Am J Cardiol
1985; 55:16-2
Impact Factor(s) of Am J Cardiol: 3.14 (2004), 3.059 (2003), 2.637 (2001)
Fulltext: HTML
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Exercise-induced silent myocardial ischemia and coronary morbidity and mortality in middle-aged men.
Laukkanen JA, Kurl S, Lakka TA, Tuomainen TP, Rauramaa R, Salonen R, Eranen J, Salonen JT
IN:
J Am Coll Cardiol
2001; 38:72-79
Impact Factor(s) of J Am Coll Cardiol: 9.133 (2004), 7.599 (2003), 6.278 (2002), 6.374 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Hyperinsulinemia. A link between hypertension obesity and glucose intolerance.
Modan M, Halkin H, Almog S, Lusky A, Eshkol A, Shefi M, Shitrit A, Fuchs Z
IN:
J Clin Invest
1985; 75:809-817
Impact Factor(s) of J Clin Invest: 14.204 (2004), 14.307 (2003), 14.118 (2001)
ABSTRACT: not available.
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Cardiovascular morbidity and mortality associated with the metabolic syndrome.
Isomaa B, Almgren P, Tuomi T, Forsen B, Lahti K, Nissen M, Taskinen MR, Groop L
IN:
Diabetes Care
2001; 24:683-68
Impact Factor(s) of Diabetes Care: 7.071 (2004), 7.501 (2003), 5.477 (2002), 5.404 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): The metabolic syndrome is associated with advanced vascular damage in patients with coronary heart disease, stroke, peripheral arterial disease or abdominal aortic aneurysm.
Olijhoek JK, Van Der Graaf Y, Banga JD, Algra A, Rabelink TJ, Visseren FL for the SMART Study Group
IN:
Eur Heart J
2004; 25:342-34
Impact Factor(s) of Eur Heart J: 6.247 (2004), 5.997 (2003), 6.131 (2002), 5.153 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Definition, diagnosis and classification of diabetes mellitus and its complications.
Alberti KG, Zimmet PZ
IN:
Diabet Med
1998; 15:539-55
Impact Factor(s) of Diabet Med: 2.621 (2004), 2.235 (2003), 2.678 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Executive summary of the third report of The National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III).
Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults
IN:
JAMA
2001; 285:2486-2497
Impact Factor(s) of JAMA: 23.332 (2005), 24.831 (2004), 21.455 (2003), 17.569 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): ACE gene insertion/deletion polymorphism associated with 1998 World Health Organization definition of metabolic syndrome in Chinese type 2 diabetic patients.
Lee YJ, Tsai JC
IN:
Diabetes Care
2002; 25:1002-1008
Impact Factor(s) of Diabetes Care: 7.071 (2004), 7.501 (2003), 5.477 (2002), 5.404 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Association of a 27-bp repeat polymorphism in intron 4 of endothelial constitutive nitric oxide synthase gene with serum uric acid levels in Chinese subjects with type 2 diabetes.
Lee YJ, Chang DM, Tsai JC
IN:
Metabolism
2003; 52:1448-1453
Impact Factor(s) of Metabolism: 2.143 (2004), 2.013 (2003), 1.931 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Association of resistin gene 3'-untranslated region +62G-->A polymorphism with type 2 diabetes and hypertension in a Chinese population.
Tan MS, Chang SY, Chang DM, Tsai JC, Lee YJ
IN:
J Clin Endocrinol Metab
2003; 88:1258-1263
Impact Factor(s) of J Clin Endocrinol Metab: 5.778 (2004), 5.873 (2003), 5.16 (2001)
ABSTRACT: Resistin, a recently discovered polypeptide, antagonizes insulin action and may play a part in the pathogenesis of insulin resistance. This study investigates whether resistin gene polymorphism can be associated with type 2 diabetes. We studied 1102 Chinese type 2 diabetes patients and 743 subjects without diabetes. The resistin 3'-untranslated region (UTR) +62G->A polymorphism was determined by PCR. Type 2 diabetes subjects had a lower frequency of resistin gene 3'UTR +62A allele (GG:GA/AA, 83.5%:16.5%) than the controls (GG:GA/AA, 75.1%:24.9%; odds ratio, 1.524; 95% confidence interval, 1.268-1.831; P < 0.001). Unexpectedly, diabetic patients with the GG genotype had a higher prevalence of hypertension (GG:GA/AA, 49.8%:36.2%; odds ratio, 1.375; 95% confidence interval, 1.116-1.693; P = 0.001). Logistic regression analysis confirmed that the resistin gene 3'UTR +62G->A polymorphism acts as an independent contributing factor to type 2 diabetes and hypertension. The mean systolic and diastolic blood pressure levels in diabetic subjects with the GG genotype (144 ± 21/87 ± 13 mm Hg) were significantly higher than those in subjects with GA/AA variants (139 ± 21/84 ± 14 mm Hg; P = 0.004 and P = 0.002, respectively). Multiple linear regression analysis showed resistin gene polymorphism to be an independent factor associated with systolic and diastolic blood pressures in type 2 diabetes patients. These findings suggest that resistin may play a role in the pathogenesis of type 2 diabetes and insulin resistance-related hypertension.
TYPE OF PUBLICATION: Original article
REFERENCES:
Articles citing this article:
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(Journal Article): New insights into lipid metabolism in non-insulin-dependent diabetes mellitus.
Taskinen MR, Lahdenpera S, Syvanne M
IN:
Ann Med
1996; 28:335-340
Impact Factor(s) of Ann Med: 3.617 (2004), 3.614 (2003), 3.422 (2002), 2.818 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Silent myocardial ischemia and infarction in diabetics with peripheral vascular disease: assessment by dipyridamole thal-lium-201 scintigraphy.
Nesto RW, Watson FS, Kowalchuk GJ, Zarich SW, Hill T, Lewis SM, Lane SE
IN:
Am Heart J
1990; 120:1073-1077
Impact Factor(s) of Am Heart J: 3.681 (2004), 3.3 (2003), 2.765 (2002), 2.87 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Thallium stress testing does not predict cardiovascular risk in diabetic patients with end-stage renal disease undergoing cadaveric renal transplantation.
Holley JL, Fenton RA, Arthur RS
IN:
Am J Med
1991; 90:563-570
Impact Factor(s) of Am J Med: 4.179 (2004), 4.403 (2003), 6.106 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): High incidence of silent myocardial ischemia in elderly patients with non insulin-dependent diabetes mellitus.
Inoguchi T, Yamashita T, Umeda F, Mihara H, Nakagaki O, Takada K, Kawano T, Murao H, Doi T, Nawata H
IN:
Diabetes Res Clin Pract
2000; 47:37-44
Impact Factor(s) of Diabetes Res Clin Pract: 1.73 (2004), 1.68 (2003), 1.265 (2002), 1.639 (2001)
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TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Microalbuminuria as a marker of silent myocardial ischaemia in IDDM patients.
Earle KA, Mishra M, Morocutti A, Barnes D, Stephens E, Chambers J, Viberti GC
IN:
Diabetologia
1996; 39:854-856
Impact Factor(s) of Diabetologia: 5.583 (2004), 5.689 (2003), 5.136 (2002), 6.299 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Silent myocardial ischemia and microalbuminuria in asymptomatic subjects with non-insulin-dependent diabetes mellitus.
Rutter MK, McComb JM, Brady S, Marshall SM
IN:
Am J Cardiol
1999; 83:27-31
Impact Factor(s) of Am J Cardiol: 3.14 (2004), 3.059 (2003), 2.637 (2001)
Fulltext: HTML
TYPE OF PUBLICATION: Original article
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(Journal Article): Cardiovascular disease risk factors as predictors of type 2 (non-insulin-dependent) diabetes mellitus in elderly subjects.
Mykkanen L, Kuusisto J, Pyorala K, Laakso M
IN:
Diabetologia
1993; 36:553-559
Impact Factor(s) of Diabetologia: 5.583 (2004), 5.689 (2003), 5.136 (2002), 6.299 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Assessment of asymptomatic coronary artery disease in apparently uncomplicated type 2 diabetic patients: a role for lipoprotein(a) and apolipoprotein(a) polymorphism.
Gazzaruso C, Garzaniti A, Giordanetti S, Falcone C, De Amici E, Geroldi D, Fratino P
IN:
Diabetes Care
2002; 25:1418-1424
Impact Factor(s) of Diabetes Care: 7.071 (2004), 7.501 (2003), 5.477 (2002), 5.404 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Early diagnosis of silent coronary artery disease in diabetic sub-jects—are intense efforts worth while?
Airaksinen KE
IN:
Swiss Med Wkly
2001; 131:425-426
Impact Factor(s) of Swiss Med Wkly: 1.537 (2004), 1.162 (2003)
ABSTRACT: n/a
TYPE OF PUBLICATION: Editorial
Articles citing this article:
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(Journal Article): Effects of ramipril on cardiovascular and microvascular outcomes in people with diabetes mellitus: results of the HOPE study and MICRO-HOPE substudy.
Heart Outcomes Prevention Evaluation Study Investigators
IN:
Lancet
2000; 355:253-259
Impact Factor(s) of Lancet: 23.407 (2005), 21.713 (2004), 18.316 (2003), 15.397 (2002), 13.251 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Beta-blockers and sudden cardiac death.
Kendall MJ, Lynch KP, Hjalmarson A, Kjekshus J
IN:
Ann Intern Med
1995; 123:358-367
Impact Factor(s) of Ann Intern Med: 13.114 (2004), 12.427 (2003), 11.416 (2002), 11.13 (2001)
TYPE OF PUBLICATION: Original article
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(Journal Article): Cholesterol lowering with simvastatin improves prognosis of diabetic patients with coronary heart disease.
Pyorala K, Pedersen TR, Kjekshus J, Faergeman O, Olsson AG, Thorgeirsson G
IN:
Diabetes Care
1997; 20:614-620
Impact Factor(s) of Diabetes Care: 7.071 (2004), 7.501 (2003), 5.477 (2002), 5.404 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes.
Gaede P, Vedel P, Larsen N, Jensen GV, Parving HH, Pedersen O
IN:
N Engl J Med
2003; 348:383-393
Impact Factor(s) of N Engl J Med: 44.016 (2005), 38.57 (2004), 34.833 (2003), 29.065 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Impact of electron beam tomography, with or without case management, on motivation, behavioral change, and cardiovascular risk profile: a randomized controlled trial.
O'Malley PG, Feuerstein IM, Taylor AJ
IN:
JAMA
2003; 289:2215-2223
Impact Factor(s) of JAMA: 23.332 (2005), 24.831 (2004), 21.455 (2003), 17.569 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Cohort study of predictive value of urinary albumin excretion for atherosclerotic vascular disease in patients with insulin dependent diabetes.
Deckert T, Yokoyama H, Mathiesen E, Ronn B, Jensen T, Feldt-Rasmussen B, Borch-Johnsen K, Jensen JS
IN:
BMJ
1996; 312:871-874
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): The association of microalbuminuria and mortality in non-insulin-dependent diabetes mellitus.
Dinneen SF, Gerstein HC
IN:
Arch Intern Med
1997; 157:1413-1418
Impact Factor(s) of Arch Intern Med: 7.508 (2004), 6.758 (2003), 6.749 (2002), 6.661 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Significance of silent ischemia and microalbuminuria in predicting coronary events in asymptomatic patients with type 2 diabetes.
Rutter MK, Wahid ST, McComb JM, Marshall SM
IN:
J Am Coll Cardiol
2002; 40:56-61
Impact Factor(s) of J Am Coll Cardiol: 9.133 (2004), 7.599 (2003), 6.278 (2002), 6.374 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): The stages in diabetic renal disease. With emphasis on the stage of incipient diabetic nephropathy.
Mogensen CE, Christensen CK, Vittinghus E
IN:
Diabetes
1983; 32 Suppl 2:64-78
Impact Factor(s) of Diabetes: 8.848 (2004), 8.298 (2003), 8.256 (2002), 7.7 (2001)
ABSTRACT: not available.
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Microalbuminuria as predictor of vascular disease in non-diabetic subjects.
Yudkin JS, Forrest RD, Jackson CA
IN:
Lancet
1988; 2:530-533
Impact Factor(s) of Lancet: 23.407 (2005), 21.713 (2004), 18.316 (2003), 15.397 (2002), 13.251 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Microalbuminuria predicts cardiovascular events and renal insufficiency in patients with essential hypertension.
Bigazzi R, Bianchi S, Baldari D, Campese VM
IN:
J Hypertens
1998; 16:1325-1333
Impact Factor(s) of J Hypertens: 4.871 (2004), 3.572 (2003), 3.534 (2002), 4.21 (2001)
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TYPE OF PUBLICATION: Original article
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(Journal Article): Arterial hypertension, microalbuminuria, and risk of ischemic heart disease.
Jensen JS, Feldt-Rasmussen B, Strandgaard S, Schroll M, Borch-Johnsen K
IN:
Hypertension
2000; 35:898-903
Impact Factor(s) of Hypertension: 5.342 (2004), 5.63 (2003), 5.013 (2002), 5.364 (2001)
TYPE OF PUBLICATION: Original article
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(Journal Article): Renal and systemic transvascular albumin leakage in severe atherosclerosis.
Jensen JS
IN:
Arterioscler Thromb Vasc Biol
1995; 15:1324-132
Impact Factor(s) of Arterioscler Thromb Vasc Biol: 7.432 (2004), 6.791 (2003), 5.816 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Albuminuria reflects widespread vascular damage.
Deckert T, Feldt-Rasmussen B, Borch-Johnsen K, Jensen T, Kofoed-Enevoldsen A
IN:
Diabetologia
1989; 32:219-226
Impact Factor(s) of Diabetologia: 5.583 (2004), 5.689 (2003), 5.136 (2002), 6.299 (2001)
Fulltext: HTML
ABSTRACT: not available.
TYPE OF PUBLICATION: Original article
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(Journal Article): Predictive value of cardiac autonomic neuropathy in diabetic patients with or without silent myocardial ischemia.
Valensi P, Sachs RN, Harfouche B, Lormeau B, Paries J, Cosson E, Paycha F, Leutenegger M, Attali JR
IN:
Diabetes Care
2001; 24:339-343
Impact Factor(s) of Diabetes Care: 7.071 (2004), 7.501 (2003), 5.477 (2002), 5.404 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Silent coronary artery disease in diabetes—a feature of autonomic neuropathy or accelerated atherosclerosis? Diabetologia 2001.
Airaksinen KE
IN:
Diabetologia
2001; 44:259-266
Impact Factor(s) of Diabetologia: 5.583 (2004), 5.689 (2003), 5.136 (2002), 6.299 (2001)
TYPE OF PUBLICATION: Original article
Articles citing this article:
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(Journal Article): Association between silent coronary artery disease, diabetes, and autonomic neuropathy. Fact of fallacy?
Airaksinen KE, Koistinen MJ
IN:
Diabetes Care
1992; 15:288-292
Impact Factor(s) of Diabetes Care: 7.071 (2004), 7.501 (2003), 5.477 (2002), 5.404 (2001)
TYPE OF PUBLICATION: Original article
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