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April 26, 2005HypertensionOpen Access

Progression of Coronary Artery Calcium and Occurrence of Myocardial Infarction in Patients With and Without Diabetes Mellitus

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Why the study?

Does diabetes mellitus accelerate coronary artery calcium progression and increase myocardial infarction risk, and is statin therapy effective in slowing this progression?

Population

1,310 subjects who underwent sequential electron beam tomography scans at a minimum 1-year interval.

Comparison

Diabetes mellitus and statin therapy vs Nondiabetic subjects and no statin therapy

Design

Cohort

Follow-up

minimum 1-year interval

Authors

PRPaolo RaggiBCBruce CooilCRCarlo Ratti

Discussion

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Overview

Diabetes accelerates CAC progression on statins; leaves open whether adjunctive therapies reduce events.

Structured PICO

Does diabetes mellitus accelerate coronary artery calcium progression and increase myocardial infarction risk, and is statin therapy effective in slowing this progression?

P
Population
1,310 subjects (1,153 nondiabetic and 157 diabetic) who underwent sequential electron beam tomography scans at a minimum 1-year interval.
I
Intervention
Diabetes mellitus (observational exposure) and statin therapy
C
Comparator
Nondiabetic subjects and no statin therapy
O
Outcome
Progression of coronary artery calcium (defined as a yearly score increase >15%)surrogate

Diabetes mellitus is associated with accelerated coronary atherosclerosis progression compared to nondiabetics, even in the presence of statin therapy.

Cite This Study

Raggi et al. (2005) studied this question.

synapsesocial.com/papers/6a73dc420375516f85f15fbfhttps://doi.org/10.1161/01.hyp.0000164575.16609.02
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