Potential Implications of Coronary Artery Calcium Testing for Guiding Aspirin Use Among Asymptomatic Individuals With Diabetes
Why the study?
Does coronary artery calcium (CAC) testing effectively risk stratify asymptomatic individuals with diabetes to guide primary prevention therapies like aspirin?
Population
2,384 asymptomatic individuals with diabetes (from a larger cohort of 44,052 referred for CAC testing)
Design
Cohort
Follow-up
mean 5.6 ± 2.6 years
Authors
Discussion
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Member takes
Implication
May refine aspirin decisions in asymptomatic diabetes; leaves open whether CAC-guided therapy improves outcomes.
Structured PICO
Does coronary artery calcium (CAC) testing effectively risk stratify asymptomatic individuals with diabetes to guide primary prevention therapies like aspirin?
P
Population
2,384 asymptomatic individuals with diabetes (from a larger cohort of 44,052 referred for CAC testing)
I
Intervention
Coronary artery calcium (CAC) testing for risk stratification
O
Outcome
All-cause mortalityhard clinical
CAC testing effectively risk stratifies asymptomatic patients with diabetes, potentially guiding primary prevention decisions such as low-dose aspirin use.
Cite This Study
Silverman et al. (2012) studied this question.