TY - JOUR
T1 - The prevalence of abnormal glucose regulation in patients with coronary artery disease across Europe
T2 - The Euro Heart Survey on diabetes and the heart
AU - Euro Heart Survey Investigators
AU - Bartnik, Małgorzata
AU - Rydén, Lars
AU - Ferrari, Roberto
AU - Malmberg, Klas
AU - Pyörälä, Kalevi
AU - Simoons, Maarten
AU - Standl, Eberhard
AU - Soler-Soler, Jordi
AU - Öhrvik, John
AU - Manini, Malika
AU - Bramley, Claire
AU - Laforest, Valérie
AU - Taylor, Charles
AU - Del Gaiso, Susan
AU - Rydén, L.
AU - Bartnik, M.
AU - Ohrvik, J.
AU - Huber, Kurt
AU - De Backer, Guy
AU - Sirakova, Vera
AU - Cerbak, Roman
AU - Thayssen, Per
AU - Lehto, Seppo
AU - Delahaye, François
AU - Kobulia, Bondo
AU - Zeymer, Uwe
AU - Cokkinos, Dennis
AU - Karlocai, Kristof
AU - Shelley, Emer
AU - Behar, Shlomo
AU - Maggioni, Aldo
AU - Grabauskiene, Virginija
AU - Deckers, Jaap
AU - Asmussen, Inger
AU - Stepinska, Janina
AU - Gonçalves, Lino
AU - Mareev, Vyacheslav
AU - Riecansky, Igor
AU - Kenda, Miran F.
AU - Lopez-Sendon, José Luis
AU - Rosengren, Annika
AU - Buser, Peter
AU - Okay, Tugrul
AU - Sychov, Oleg
AU - Fox, Kevin
AU - Wood, David
AU - Alonso, Angeles
AU - Boersma, Eric
AU - Crijns, Harry
AU - Ostrovsky, I.
N1 - Publisher Copyright:
© 2004 The European Society of Cardiology. Published by Elsevier Ltd. All rights reserved.
PY - 2004/11/1
Y1 - 2004/11/1
N2 - Aim The objective behind the Euro Heart Survey on diabetes and the heart was to study the prevalence of abnormal glucose regulation in adult patients with coronary artery disease (CAD). Methods and results The survey engaged 110 centres in 25 countries recruiting 4196 patients referred to a cardiologist due to CAD out of whom 2107 were admitted on an acute basis and 2854 had an elective consultation. Patient data were collected via a web-based case record form. An oral glucose tolerance test (OGTT) was used for the characterisation of the glucose metabolism. Thirty-one per cent of the patients had diabetes. An OGTT was performed on the 1920 patients without known diabetes, of whom 923 had acute and 997 had a stable manifestation of CAD, respectively. In patients with acute CAD, 36% had impaired glucose regulation and 22% newly detected diabetes. In the stable group these proportions were 37% and 14%. Conclusion This survey demonstrates that normal glucose regulation is less common than abnormal glucose regulation in patients with CAD. OGTT easily discloses the glucometabolic state and should be a routine procedure. The knowledge of glucometabolic state among these patients should influence their future management because it has great potential to improve the outcome.
AB - Aim The objective behind the Euro Heart Survey on diabetes and the heart was to study the prevalence of abnormal glucose regulation in adult patients with coronary artery disease (CAD). Methods and results The survey engaged 110 centres in 25 countries recruiting 4196 patients referred to a cardiologist due to CAD out of whom 2107 were admitted on an acute basis and 2854 had an elective consultation. Patient data were collected via a web-based case record form. An oral glucose tolerance test (OGTT) was used for the characterisation of the glucose metabolism. Thirty-one per cent of the patients had diabetes. An OGTT was performed on the 1920 patients without known diabetes, of whom 923 had acute and 997 had a stable manifestation of CAD, respectively. In patients with acute CAD, 36% had impaired glucose regulation and 22% newly detected diabetes. In the stable group these proportions were 37% and 14%. Conclusion This survey demonstrates that normal glucose regulation is less common than abnormal glucose regulation in patients with CAD. OGTT easily discloses the glucometabolic state and should be a routine procedure. The knowledge of glucometabolic state among these patients should influence their future management because it has great potential to improve the outcome.
KW - Coronary artery disease
KW - Diabetes mellitus
KW - Impaired glucose tolerance
KW - Oral glucose tolerance test
UR - http://www.scopus.com/inward/record.url?scp=7544224325&partnerID=8YFLogxK
U2 - 10.1016/j.ehj.2004.07.027
DO - 10.1016/j.ehj.2004.07.027
M3 - Review article
C2 - 15522466
AN - SCOPUS:7544224325
SN - 0195-668X
VL - 25
SP - 1880
EP - 1890
JO - European Heart Journal
JF - European Heart Journal
IS - 21
ER -