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Clinically unrecognized Q-wave myocardial infarction in patients with diabetes mellitus, systemic hypertension, and nephropathy

2004; Elsevier BV; Volume: 94; Issue: 3 Linguagem: Inglês

10.1016/j.amjcard.2004.04.028

1879-1913

David Aguilar, Samuel Z. Goldhaber, Daniel J. Gans, Andrew S. Levey, Jerome G. Porush, Julia B. Lewis, Jean‐Lucien Rouleau, Tomás Berl, Edmund J. Lewis, Marc A. Pfeffer,

Cardiac electrophysiology and arrhythmias

During the Irbesartan Diabetic Nephropathy Trial, 1,387 participants with type 2 diabetes mellitus, hypertension, and nephropathy underwent serial electrocardiograms for the identification of Q-wave myocardial infarction (MI). During a mean follow-up of 2.5 years, 14 of 99 first nonfatal MIs in this group were clinically unrecognized, accounting for 14% of all first nonfatal MIs.