Diagnosing coronary artery disease in diabetic patients.
Although several diagnostic modalities are available to the clinician interested in diagnosing coronary artery disease, very few have been validated in diabetic populations. This review discusses the non-invasive diagnosis of coronary disease in diabetic patients. Evidence regarding the prevalence and prognostic significance of silent ischemia is reviewed and the potential impact of silent ischemia on the diagnostic characteristics of the exercise treadmill test discussed. Other diagnostic tools are considered, and recommendations are made with respect to screening asymptomatic diabetic patients for coronary artery disease.
Ashley
Euan A
EA
Department of Cardiovascular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, UK. euan.ashley@cardiov.ox.ac.uk
Raxwal
Vinod
V
Finlay
Malcolm
M
Froelicher
Victor
V
D003327:Coronary Disease / Q000175:diagnosis*; D003925:Diabetic Angiopathies / Q000175:diagnosis* / Q000453:epidemiology; D004452:Echocardiography; D005080:Exercise Test; D006801:Humans; D008279:Magnetic Resonance Imaging; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000453:epidemiology; D015995:Prevalence; D011379:Prognosis; D014057:Tomography, X-Ray Computed