Key result
Screening asymptomatic patients with type 2 diabetes who have limited functional status or multiple risk factors using exercise treadmill testing or imaging studies helps identify underlying coronary artery disease.
This review highlights the importance of screening high-risk asymptomatic patients with type 2 diabetes for coronary artery disease using appropriate non-invasive imaging modalities to enhance risk stratification and management.
Targeted CAD screening in high-risk type 2 diabetes warrants consideration; extends evidence for risk-stratified approaches but leaves optimal strategy open.
Coronary artery disease (CAD) is the leading cause of morbidity and mortality in patients with diabetes. CAD is often asymptomatic in these patients, until the onset of myocardial infarction or sudden cardiac death. Consequently, proper screening and diagnosis of CAD is crucial for the prevention and early treatment of coronary events. This review deals with selection of the sub group of patients who have type 2 diabetes, who are at high risk for developing CAD and need to be screened for the same. The various diagnostic modalities which can be used in the screening process for enhancing risk stratification and management are also discussed.
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Chopra et al. (2011) conducted a review in Type 2 diabetes mellitus and coronary artery disease. Screening modalities for coronary artery disease was evaluated. Screening asymptomatic patients with type 2 diabetes who have limited functional status or multiple risk factors using exercise treadmill testing or imaging studies helps identify underlying coronary artery disease.
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