Key result
Exercise stress testing may be useful for screening asymptomatic patients with type 2 diabetes who are at high risk or considering moderate to vigorous exercise.
Why the study?
When should asymptomatic patients with type 2 diabetes undergo exercise stress testing for coronary artery disease screening?
When should asymptomatic patients with type 2 diabetes undergo exercise stress testing for coronary artery disease screening?
Provides clinical guidance on selecting asymptomatic patients with type 2 diabetes for exercise stress testing or nuclear imaging to screen for coronary artery disease.
May inform selective screening in high-risk asymptomatic type 2 diabetes; leaves open need for randomized outcome trials.
IN BRIEF There are no evidence-based guidelines for screening asymptomatic diabetic patients for coronary artery disease (CAD). One well-studied screening tool is exercise treadmill testing. Many diabetic patients with no symptoms of CAD have abnormal stress tests. For asymptomatic patients, identification of cardiovascular risk factors and risk stratification may help physicians justify the performance of treadmill evaluation. Patients considering moderate or vigorous exercise and those at highest risk can undergo exercise stress testing with referral for further evaluation as indicated. For patients with decreased exercise capacity, inability to reach target heart rates, or absence of chest pain during exercise, stress nuclear imaging may be more valuable than exercise electrocardiograph testing.
No takes yet. Share an insight, caveat, or question.
Harris et al. (2007) conducted a review in Type 2 Diabetes. Exercise stress testing was evaluated. Exercise stress testing may be useful for screening asymptomatic patients with type 2 diabetes who are at high risk or considering moderate to vigorous exercise.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: