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http://dx.doi.org/10.4093/dmj.2018.0041

Diabetes and Subclinical Coronary Atherosclerosis  

Lee, Chang Hoon (Department of Cardiology, Veterans Health Service Medical Center)
Lee, Seung-Whan (Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine)
Park, Seong-Wook (Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
Diabetes and Metabolism Journal / v.42, no.5, 2018 , pp. 355-363 More about this Journal
Abstract
It is well known that diabetic patients have a high risk of cardiovascular events, and although there has been a tremendous effort to reduce these cardiovascular risks, the incidence of cardiovascular morbidity and mortality in diabetic patients remains high. Therefore, the early detection of coronary artery disease (CAD) is necessary in those diabetic patients who are at risk of cardiovascular events. Significant medical and radiological advancements, including coronary computed tomography angiography (CCTA), mean that it is now possible to investigate the characteristics of plaques, instead of solely evaluating the calcium level of the coronary artery. Recently, several studies reported that the prevalence of subclinical coronary atherosclerosis (SCA) is higher than expected, and this could impact on CAD progression in asymptomatic diabetic patients. In addition, several reports suggest the potential benefit of using CCTA for screening for SCA in asymptomatic diabetic patients, which might dramatically decrease the incidence of cardiovascular events. For these reasons, the medical interest in SCA in diabetic patients is increasing. In this article, we sought to review the results of studies on CAD in asymptomatic diabetic patients and discuss the clinical significance and possibility of using CCTA to screen for SCA.
Keywords
Atherosclerosis; Computed tomography angiography; Coronary vessels; Diabetes mellitus;
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