Key result
CAC scoring in asymptomatic diabetes influences management, increasing ABC target achievement to ~56% for CAC ≥100.
Why the study?
People with diabetes mellitus remain at high cardiovascular risk, but data were needed on the severity of coronary artery calcium, its correlation with cardiovascular risk scores, and the impact of testing on management in asymptomatic Thai patients.
Does coronary artery calcium scoring improve cardiovascular risk stratification and metabolic target attainment in asymptomatic Thai people with diabetes mellitus?
Population
Asymptomatic Thai people with diabetes mellitus
Comparison
Coronary artery calcium score ≥100 AU vs <100 AU
Follow-up
6 months
Authors
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May support CAC-guided intensification in asymptomatic diabetes; leaves open outcome benefits without randomized data.
Cohort (n=157)
No
Does coronary artery calcium scoring improve cardiovascular risk stratification and metabolic target attainment in asymptomatic Thai people with diabetes mellitus?
Absolute Event Rate: 55.7% vs 56.4%
CAC scoring in asymptomatic Thai patients with diabetes reveals a high prevalence of subclinical coronary atherosclerosis and is associated with improved attainment of metabolic targets at 6 months.
Thewjitcharoen et al. (2026) conducted a cohort in Asymptomatic Diabetes Mellitus (n=157). Coronary Artery Calcium (CAC) scoring ≥100 AU vs. CAC <100 AU was evaluated on Achieved ABC target (A1C, blood pressure, and LDL cholesterol) at 6 months. Coronary artery calcium scoring in asymptomatic Thai patients with diabetes influenced clinical management, increasing achieved ABC metabolic targets to 55.7% at 6 months in those with CAC ≥100 AU.
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