Pre-exercise cardiology screening guidelines for asymptomatic patients with diabetes.
Coronary heart disease is a major cause of morbidity and mortality in persons with diabetes mellitus. Exercise is an important cornerstone in the treatment and management of diabetes but is also associated with a heightened risk of sudden cardiac death in those with occult coronary heart disease. Before beginning a physical activity program that involves anything greater than moderate intensity exercise, consideration should be given to screening asymptomatic persons with diabetes for silent myocardial ischemia.
Angadi
Siddhartha S
SS
Department of Exercise and Wellness, Arizona State University, 7350 E. Unity Avenue, Mesa, AZ 85296, USA. siddhartha.angadi@asu.edu
Gaesser
Glenn A
GA
D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D003955:Diagnostic Tests, Routine; D042241:Early Diagnosis; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000592:standards*; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D012307:Risk Factors; D014481:United States / Q000453:epidemiology