Diabetes is considered a CAD risk-equivalent, warranting secondary prevention of CAD for all adult diabetic patients according to current guidelines.
Diabetes is a major coronary artery disease (CAD) risk factor which is increasing in prevalence, and commonly associated with asymptomatic CAD.1 Patients with diabetes without previous myocardial infarction2 or cardiovascular disease3 have been shown to have a similar prognosis as persons without diabetes but with prior myocardial infarction or cardiovascular disease.2 Based on these group and population-based data, diabetes is considered a “CAD risk-equivalent” according to current Framingham Risk Score Adult Treatment Program III guidelines, and secondary prevention of CAD is recommended for all adult diabetic patients.3
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Berman et al. (2009) studied this question.
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