Asymptomatic coronary artery disease in type II diabetes

Coronary artery disease is a major cause of morbidity and mortality in patients with diabetes mellitus and remains one of the largest burdens on health care resources. Prevalence of asymptomatic CAD in this population is high and poses a diagnostic challenge due to lack of overt clinical complaints....

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Bibliographic Details
Published in:Missouri medicine 2014-01, Vol.111 (1), p.73-79
Main Authors: Baweja, Paramdeep S, Sandesara, Pratik B, Ashraf, M Javed
Format: Article
Language:English
Subjects:
Coronary Artery Disease - diagnosis
Coronary Artery Disease - epidemiology
Coronary Artery Disease - etiology
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Diagnostic Imaging
Exercise Test
Humans
Mass Screening
Practice Guidelines as Topic
Prevalence
Risk Assessment
Science of Medicine
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Summary:Coronary artery disease is a major cause of morbidity and mortality in patients with diabetes mellitus and remains one of the largest burdens on health care resources. Prevalence of asymptomatic CAD in this population is high and poses a diagnostic challenge due to lack of overt clinical complaints. At this time there is no clear algorithm to screen for silent myocardial ischemia in diabetics. In this article we review various diagnostic tools available for assessment and propose a step wise approach for risk stratification in these patients.
ISSN:0026-6620