{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:20:12Z","timestamp":1792016412498,"version":"4.4.0"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:00:00Z","timestamp":1755907200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100004339","name":"Sanofi","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004339","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000046","name":"Abbott","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000046","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004320","name":"Philips","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004320","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004325","name":"AstraZeneca","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004325","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aim of this study was to evaluate the prognostic value of stress perfusion cardiovascular magnetic resonance (CMR) in diabetic vs. non-diabetic patients and then in symptomatic vs. asymptomatic diabetics. Diabetic individuals are at increased risk of coronary atherosclerosis. A significant percentage of diabetics fail to perceive the typical symptoms of myocardial ischaemia. Screening methods such as coronary computed tomography angiography (CCTA) or single-photon emission computed tomography (SPECT) have not shown clear benefits in asymptomatic diabetics. The role of stress CMR in this population is not well established.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Between 2008 and 2018, all consecutive diabetic and non-diabetic patients without known cardiovascular disease referred for stress perfusion CMR in two tertiary centres were included. Propensity score matching was used to create a cohort of diabetic vs. non-diabetic patients with similar baseline characteristics. All patients were followed for the occurrence of major adverse cardiovascular events (MACE), defined as cardiovascular death or non-fatal myocardial infarction. Diabetic patients were categorized into symptomatic and asymptomatic patients. Out of 3485 eligible patients, 1359 diabetics and 1359 non-diabetics (mean age 69 \u00b1 12 years, 57.4% women) with similar propensity scores were included. Over a median follow-up period of 6.5 (5.9\u20138.9) years, 386 (14.2%) experienced MACEs. Kaplan\u2013Meier analysis for the occurrence of MACE indicated that the extent of ischaemia or late gadolinium enhancement involving \u22653 segments were independent predictors of the occurrence of MACEs {hazard ratio [HR]: 7.14 [95% confidence interval (CI), 5.01\u201310.02] and HR: 5.03 [95% CI, 3.47\u20137.29]; both P &amp;lt; 0.001, respectively}, with no significant differences between diabetics and non-diabetics. Asymptomatic diabetics (n = 255) showed similar event rates as symptomatic patients (P = 0.98).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Stress CMR provides valuable prognostic information in diabetic patients, irrespective of symptoms. Further assessment is needed to determine whether stress CMR should be a standard screening tool for diabetic patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjci\/jeaf249","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T11:42:23Z","timestamp":1755862943000},"page":"610-620","source":"Crossref","is-referenced-by-count":2,"title":["The role of stress cardiovascular magnetic resonance in patients with diabetes mellitus"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5780-0830","authenticated-orcid":false,"given":"Mark","family":"Hinderks","sequence":"first","affiliation":[{"name":"Department of Cardiology, Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solenn","family":"Toupin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Universit\u00e9 Paris Cit\u00e9, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP) , Paris 75010 ,","place":["France"]},{"name":"Inserm MASCOT\u2014UMRS 942, University Hospital of Lariboisiere , Paris 75010 ,","place":["France"]},{"name":"MIRACL.ai Laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (AP-HP) , Paris 75010 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1530-6363","authenticated-orcid":false,"given":"Robin","family":"Nijveldt","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Radboud University Medical Center , Nijmegen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Duhamel","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, H\u00f4pital Prive\u0301 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,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ste\u0301phane","family":"Champagne","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, H\u00f4pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301 , 6 Avenue du Noyer Lambert, Massy 91300 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Unterseeh","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, H\u00f4pital Prive\u0301 Jacques CARTIER, Ramsay Sante\u0301 , 6 Avenue du Noyer Lambert, Massy 91300 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam","family":"Akodad","sequence":"additional","affiliation":[{"name":"Institut Cardiovasculaire Paris Sud, Cardiovascular Magnetic Resonance Laboratory, H\u00f4pital Prive\u0301 Jacques CARTIER, Ramsay 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University Hospital of Lariboisiere (AP-HP) , Paris 75010 ,","place":["France"]},{"name":"Department of Radiology, Universit\u00e9 Paris Cit\u00e9, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP) , Paris 75010 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul-Jun","family":"Martial","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Universit\u00e9 Paris Cit\u00e9, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP) , Paris 75010 ,","place":["France"]},{"name":"Inserm MASCOT\u2014UMRS 942, University Hospital of Lariboisiere , Paris 75010 ,","place":["France"]},{"name":"MIRACL.ai Laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (AP-HP) , Paris 75010 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Guillaume","family":"Dillinger","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Universit\u00e9 Paris Cit\u00e9, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP) , Paris 75010 ,","place":["France"]},{"name":"Inserm MASCOT\u2014UMRS 942, University Hospital of Lariboisiere , Paris 75010 ,","place":["France"]},{"name":"MIRACL.ai Laboratory, Multimodality Imaging for Research and Analysis Core Laboratory and Artificial Intelligence, University Hospital of Lariboisiere (AP-HP) , Paris 75010 ,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Henry","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Universit\u00e9 Paris Cit\u00e9, University Hospital of Lariboisiere (Assistance Publique des H\u00f4pitaux de Paris, AP-HP) , Paris 75010 ,","place":["France"]},{"name":"Inserm MASCOT\u2014UMRS 942, University Hospital of Lariboisiere , Paris 75010 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