119: Detection of Silent Coronary Artery Disease in Japanese Type 2 Diabetes; Combined Assessment by Use of Calcium Score, Selective Coronary CT Angiography and Stress Test

2008 ◽  
Vol 2 (4) ◽  
pp. S42-S43
Keyword(s):  
Type 2 Diabetes ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Coronary Ct Angiography ◽  
Stress Test ◽  
Calcium Score ◽  
Coronary Ct ◽  
Silent Coronary Artery Disease ◽  
Artery Disease

scholarly journals A study of prevalence of silent coronary artery disease in asymptomatic type II diabetes mellitus

2021 ◽  
Vol 9 (1) ◽  
pp. 1-4
Author(s):  
Moogaambiga S ◽  
Kirubhakaran K ◽  
Devi PL ◽  
Santhosh P
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Cardiovascular Disease ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Diabetic Patients ◽  
Treadmill Test ◽  
Silent Coronary Artery Disease ◽  
Artery Disease

Background: Cardiovascular disease is a major cause of morbidity and mortality in diabetics. However diabetic patients do not present with typical anginal symptoms or may be even asymptomatic and silent coronary artery disease (CAD) is prevalent in diabetics. Moreover silent CAD is not different from symptomatic CAD with respect to prognosis and adverse effects. Aim: The study was done to demonstrate the prevalence of silent myocardial ischemic changes in asymptomatic type 2 diabetes mellitus patients with normal resting ECG by doing a stress exercise test. Methodology: This descriptive study was done in 100 patients with type 2 diabetes more than 2 years who did not have any history of cardiovascular disease or symptoms. Detailed history was taken and investigations such as HbA1c, fasting and postprandial blood sugar, serum creatinine, urine examination were done. Resting ECG, Echocardiogram was found to be normal and they were subjected to a treadmill test. Results: Among the 100 participants 18 persons (18%) had positive ECG findings in treadmill test. A positive association was found between the duration of diabetes and prevalence of positive treadmill test. Conclusion: There is significant prevalence of silent CAD in diabetic patients and they tend to present with advanced disease at presentation and have poorer prognosis compared to non diabetic population. Hence it is necessary to screen early for silent CAD in diabetics to improve disease outcomes.

scholarly journals Silent coronary artery disease in type 2 diabetes: a narrative review on epidemiology, risk factors, and clinical studies

2021 ◽  
Author(s):  
Saula Vigili de Kreutzenberg
Keyword(s):  
Risk Factors ◽  
Type 2 Diabetes ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Point Of View ◽  
Narrative Review ◽  
Silent Coronary Artery Disease ◽  
Artery Disease ◽  
Associated Risk Factors

Silent coronary artery disease (CAD) is one of the manifestations of heart disease that particularly affects subjects with type 2 diabetes mellitus (T2DM). From a clinical point of view, silent CAD represents a constant challenge for the diabetologist, who has to decide whether a patient could or could not be screened for this disease. In the present narrative review, several aspects of silent CAD are considered: the epidemiology of the disease, the associated risk factors, and main studies conducted, in the last 20 years, especially aimed to demonstrate the usefulness of the screening of silent CAD, to improve cardiovascular outcomes in type 2 diabetes.

scholarly journals Simple exercise test score versus cardiac stress test for the prediction of coronary artery disease in patients with type 2 diabetes

2014 ◽  
Vol 124 (4) ◽  
pp. 157-164
Author(s):  
Witold Pikto‑Pietkiewicz ◽  
Monika Przewłocka ◽  
Barbara Chybowska ◽  
Alona Cyciwa ◽  
Tomasz Pasierski
Keyword(s):  
Type 2 Diabetes ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Exercise Test ◽  
Test Score ◽  
Stress Test ◽  
Cardiac Stress ◽  
Artery Disease ◽  
Cardiac Stress Test
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