Key result
Diabetes is linked to ~2-3x higher CAD risk, often presenting as silent myocardial ischemia.
Patients with diabetes mellitus are at a two to three times greater risk for coronary artery disease and frequently present with silent or asymptomatic myocardial ischemia.
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May heighten suspicion for silent ischemia in diabetes; leaves open optimal screening strategies for prospective trials.
Individuals with both type 1 and type 2 diabetes mellitus (DM) are known to be at high risk for developing coronary artery disease (CAD). The risk is two to three times greater in those with DM compared with those without, and is especially high in women with DM. An additional problem in individuals with DM is that, even with severe underlying CAD, many individuals may have atypical symptoms or be totally asymptomatic, a condition referred to as silent or asymptomatic myocardial ischemia.
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Deborah Chyun (2006) conducted a review in Diabetes mellitus and coronary artery disease. Diabetes mellitus increases the risk of developing coronary artery disease by two to three times compared to individuals without diabetes, often presenting as silent myocardial ischemia.
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