scholarly journals Cost-effectiveness of screening for coronary artery disease in asymptomatic patients with type 2 diabetes and additional atherogenic risk factors

2004 ◽  
Vol 19 (12) ◽  
pp. 1181-1191 ◽  
Author(s):  
Yasuaki Hayashino ◽  
Sizuko Nagata-Kobayashi ◽  
Takeshi Morimoto ◽  
Kenji Maeda ◽  
Takuro Shimbo ◽  
...  
Author(s):  
Saula Vigili de Kreutzenberg

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.


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