The prevalence of abnormal glucose regulation in patients with coronary artery disease across Europe: The Euro Heart Survey on diabetes and the heart

Małgorzata Bartnik, Lars Rydén, Roberto Ferrari, Klas Malmberg, Kalevi Pyörälä, Maarten Simoons, Eberhard Standl, Jordi Soler-Soler, John Öhrvik, Malika Manini, Claire Bramley, Valérie Laforest, Charles Taylor, Susan Del Gaiso, L. Rydén, M. Bartnik, J. Ohrvik, Kurt Huber, Guy De Backer, Vera SirakovaRoman Cerbak, Per Thayssen, Seppo Lehto, François Delahaye, Bondo Kobulia, Uwe Zeymer, Dennis Cokkinos, Kristof Karlocai, Emer Shelley, Shlomo Behar, Aldo Maggioni, Virginija Grabauskiene, Jaap Deckers, Inger Asmussen, Janina Stepinska, Lino Gonçalves, Vyacheslav Mareev, Igor Riecansky, Miran F. Kenda, José Luis Lopez-Sendon, Annika Rosengren, Peter Buser, Tugrul Okay, Oleg Sychov, Kevin Fox, David Wood, Angeles Alonso, Eric Boersma, Harry Crijns, Kim Fox, Anselm Gitt, Keith McGregor, Barbara Mulder, Markku Nieminen, Sylvia Priori, Luigi Tavazzi, Alec Vahanian, Panos Vardas, William Wijns, Kadriye Aydinkoc, Martina Spenka, Thomas C. Wascher, Harald Sourij, Vulic Dusko, Milos Radivojevic, Assen Rachev Goudev, Maria Lubomirova Tzekova, Peyo Simeonov, Velitchko Pentchev, Yoto Yotov, Svetla G. Torbova, Vassil Stoyanovsky, Evgeni Stoynev, I. Ostrovsky, Natalia Moroz-Vadalazhskaya, Giuseppe Cocco, Loizos Antoniades, Demetris Kyprianou, Jindrich Florian, Sirous Yaghmaee, Jiri Kvasnika, Alena Krizova, Hana Rosolova, Barbora Petrlova, Semrad Borivoj, Martin Poloczek, J. Niebauer, Kati Drechsler, Udo Sechtem, Holger Vogelsberg, Elisabeth Blank, Gunter Breithardt, Horst Wedekind, Brigitte Ksoll, Toivo Laks, Anu Ambos, Hiie Tupits, Ljudmilla Kalinina, Ly Anton, Ulle Planken, Aly Saad, Ashraf Wadie Andraos, Sanaa Abdel Shafy, Bahaa Demian Metias, Mahmoud Ashraf Ibrahim, Hyam Tantawi, L. Lopez Bescos, Ana Huelmos, F. Fernandez Aviles, Luis De La Fuente Galan, Paula Tejedor Vinuela, J. A. Velasco Rami, Francisco Ridocci Soriano, M. Soledad Alcasena-Juango, Jesus Berjon-Reyero, Norberto Alonso Orcajo, R. Garcia Calabozo, Rafael Masia, Joan Sala, Izabella Rohlfs, Jose L. Lopez-Sendon, Jose Juan Gomez De Diego, Luis Sosa Martin, San Lorenzo De El Escorial, Maria Irurita Latasa, Isabel Antorrena Miranda, Angeles Alonso Garcia, Manuel Artaza Andrade, Almudena Castro Conde, Francisco Marin Ortuno, Vicente Climent, Fransisco Epelde Gonzalo, Vicente Bertomeu Martinez, Jose Angel Rodriguez Ortega, San Juan De Alicante, Carlos Pinero Galvez, Rafael Fernandez Rivero, Federico Valles Belsue, Juan Ramon Siles Rubio, Angel Llacer Escorihuela, Vicente Bertomeu Gonzalez, Francisco Calvo Iglesias, Isidoro Mínguezy Enriquez De Salamanca, Fernando Ruiz Rejon, Angel Lavin Cobo, Nieves Tarin, Kirsti Savolainen, Markku S. Nieminen, Mikko Syvänne, Mervi Pietila, Juha Mustonen, Irmeli Juntunen, Jean Marco, Stéphanie Gilliume, J. P. Bassand, Denis Pales Espinosa, Jennifer Adgey, Anne O. Brien, J. G F Cleland, Depa Haripriya Reddy, R. K. Pathmanathan, Kathryn L. Fairbrother, Gulnara Tabidze, Levan Tvildiani, Vakhtang Chumburidze, T. Kikalishvili, Ramaz Kurashvili, Maia Khelashvili, D. Cokkinos, A. Anifantakis, V. Voudris, Nastasia Tsiavou, P. K. Toutouzas, G. Latsios, Dimitri Richter, Ilias K. Karabinos, Gina Giannopoulou, Alexandros Gotsis, Paraskevi Bozia, Afentoula Savvopoulou, Vasilios Kotsis, George Bozas, Manios Efstathios, Spyridon Koulouris, P. E. Vardas, Mary Marketou, G. Papadopoulos, Nikolaos Patsourakos, Lyras Anastassios, M. Keltai, Erika Ostor, J. Borbola, Csilla Liptia, Géza Lupkovics, Németh Barnabas, Andras Matoltsy, Livia Hontvari, Zoltan Sido, Katalin Szamosi, Tamas Forster, Attila Nemes, Imre Szakal, Laszlo Topal, Andrea Badics, K. Karlocai, Gabriella Engelthaler, Andras Nagy, Germano Di Sciascio, M. Cecilia Scimia, D. Ambrosio, Antonio Pesola, Lorenza Robiglio, Bruno Aloisi, Alfio Cavallaro, Carlo Mazzola, Vincenzo Ciconte, Davide Giancotti, Franco Naccarella, Stefano Sdringola Maranga, Giovannina Lepera, Elena Sergnoli, Mara Zanetti, Anna Causarano, Valentina Zoli, Salvatore Novo, Giuseppe Coppola, Giovanna Evola, Pietro Tanzi, Donato Colecchia, L. Macali, R. Terrana, Marco Zanetta, Daniela Vegis, Daniele Bernardi, Roberto Tramarin, Cristina Opasich, Rimvydas Slapikas, Olivija Gustiene, Zaneta Petrulioniene, Milda Kovaite, Ljubica Georgievska-Ismail, Lidija Poposka, Jelka Davceva-Pavlovska, Irena Peovska, Marijan Bosevski, J. W. Deckers, Chris G. Jansen, M. J. De Boer, Nitolanda Van Rijn, R. Brons, Annette Bootsma, D. C A Van Hoogenhuyze, C. M. Leenders, M. J. Veerhoek, D. Haan, Leo Baur, Adrie Van Den Dool, Heidi Fransen, Robby Nieuwlaat, J. W M G Widdershofen, Herman Broers, C. Werter, M. Bijl, Colinda Koppelaar, Witold Ruzyllo, Jakub Przyluski, Cezary Kepka, Renata Maczynska, Malgorzata Krzciuk, Bozena Kubicka, Miroslaw Dluzniewski, Patryk Krzyzak, Wieslaw Supinski, Tomasz Myczka, Anna Schulowska, Elzbieta Zinka, Marek Gsecki, Andrzej Budaj, Piotr Kokowicz, Grzegorz Opolski, Marek Roik, Jerzy Rekosz, Joanna Biegajlo, Andrzej Kleinrok, Wojciech Czochra, Andrzej Rynkiewicz, Adam Grzybowski, Jerzy Bellwon, Eduardo Infante De Oliveira, Joao Nobrega, Rafael Ferreira, Sérgio Baptista, M. J. Veloso Gomes, Rui Alexandre C Candeias, Ernesto Rufino, Luis A. Providencia, Pedro Monteiro, Manuel Carrageta, Luisa Bento, Istvan Albert, Anne Mari Svensson, Anne Petersson, Gunnel Torelund, Harshida Patel, Camilla Hage, Matthias Lidin, Mitja Lainscak, Jani Dernic, Jana Ambrozic, Franciska Skrabl Mocnik, Albina Glavnmik, Zlatko Fras, Dunja Latific-Jasnic, Matjaz Bunc, Matjaz Klemenc, Anton Lobnik, Gregor Kompara, Olena A. Koval, Rostyslav V. Prog, Julia Tkachenko, Irene Knyazkova, Ivan Tasic

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1880-1890
Number of pages11
JournalEuropean Heart Journal
Volume25
Issue number21
DOIs
Publication statusPublished - Nov 1 2004

Keywords

  • Coronary artery disease
  • Diabetes mellitus
  • Impaired glucose tolerance
  • Oral glucose tolerance test

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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