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01-05-2013 | Diabetes and Cardiovascular Disease (S Malik, Section Editor)

Subclinical Cardiovascular Disease Assessment in Persons with Diabetes

Authors: Haider Javed Warraich, Khurram Nasir

Published in: Current Cardiology Reports | Issue 5/2013

Abstract

Patients with diabetes mellitus are at particularly high risk for cardiovascular disease. Although global risk factor scoring systems, such as the Framingham Risk Score, are well established for screening asymptomatic adults, they are not as predictive in diabetics. Therefore, there has been considerable interest in new screening tests to establish cardiovascular risk in diabetics. Coronary artery calcium assessment, both baseline levels and progression, have been shown to be additive to risk factor scoring systems and are independently predictive of cardiovascular mortality in diabetics. Current American Heart Association/American College of Cardiology Foundation guidelines recommend coronary calcium scoring for asymptomatic diabetics. Myocardial perfusion studies are recommended for patients with a coronary calcium score >400 but the level of evidence is poor. The data for other screening tests is limited. Further research is required into assessing what would be an appropriate follow-up duration for serial coronary calcium scanning.

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Title: Subclinical Cardiovascular Disease Assessment in Persons with Diabetes
Authors: Haider Javed Warraich
Khurram Nasir
Publication date: 01-05-2013
Publisher: Current Science Inc.
Published in: Current Cardiology Reports / Issue 5/2013
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI: https://doi.org/10.1007/s11886-013-0358-2

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